What is OHIP billing code A655?

A655 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A655 pay?

The current OHIP fee for A655 is $118.05, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A655 to OHIP?

A655 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A655 claims against the Schedule of Benefits rules before submission.

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A655

A655 – Limited consultation

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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A limited consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon in connection with an insured dental procedure rendered in a hospital. This service is defined as less demanding and normally requires substantially less of the physician's time than a full consultation. However, it otherwise has the same requirements as a full consultation, including: • The referral is made because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or their representative. • A copy of the written request must be kept in the consulting physician's medical record. • The consultant must prepare a written report of findings, opinions, and recommendations for the referring practitioner.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record. In a hospital, long-term care institution, or multi-specialty clinic with common medical records, the written request may be on the common record.

The request must identify the consultant by name, the referring practitioner by name and billing number, and the patient by name and health number.

The written request must set out the information relevant to the referral and specify the service(s) required.

The consultant must prepare a written report including findings, opinions, and recommendations to the referring practitioner.

The referring physician, nurse practitioner or dental surgeon must determine if multiple requests by a patient or the patient’s representative to different physicians in the same specialty for the same condition are medically necessary. Services that are not medically necessary are uninsured.

If the physician rendering the service requests a referring physician, nurse practitioner or dental surgeon to submit a consultation request for that service after the service has been provided, a consultation is not payable. The visit fee appropriate to the service rendered may be claimed.

Where a physician who has been paid for a consultation for the patient for the same diagnosis makes a request for a referral for ongoing management of the patient, the service rendered following the referral is not payable as a consultation, except as outlined in the Virtual Care Services section under definitions, part 3, commentary 3.

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