What is OHIP billing code A665?

A665 is "Prenatal consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A665 pay?

The current OHIP fee for A665 is $105.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A665 to OHIP?

A665 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A665 claims against the Schedule of Benefits rules before submission.

What codes are related to A665?

Codes related to A665 in the Schedule of Benefits include C665, A565, A266.

All codes

A665

A665 – Prenatal consultation

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

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Levels of this visit

The A66x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A661 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition and includes all the…
$86.35

Consultations

A665 Prenatal consultation(this code)
A prenatal consultation is the service rendered by a paediatrician upon request of a physician or nurse practitioner who considers a fetus of greater than 20 weeks gestation to be…
$105.50
A662 Extended special paediatric consultation
A consultation in which the physician provides all the elements of a consultation (A265) and spends a minimum of 90 minutes in direct contact with the patient, exclusive of time…
$442.40
A667 Neurodevelopmental consultation
A consultation in which the physician provides all the elements of a consultation (A265) for an infant, child or adolescent with complex neurodevelopmental conditions (e.g.
$456.80

A prenatal consultation is the service rendered by a paediatrician upon request of a physician or nurse practitioner who considers a fetus of greater than 20 weeks gestation to be at risk or in jeopardy by reason of continuation of pregnancy in the presence of maternal and/or fetal distress.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

The consultant must prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

The consultant is required to perform a medical specific assessment, including a review of all relevant data.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The written request sets out the information relevant to the referral and specifies the service(s) required.

Usage limits

Subject to general consultation limits: limited to one service per two consecutive 12-month periods for the same diagnosis by the same physician, unless it qualifies as a repeat consultation.

C665Prenatal consultation (Hospital)A565Limited consultation A266Repeat consultation

A prenatal consultation by a paediatrician does not preclude the paediatrician from claiming a post-natal consultation on the infant.

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