What is OHIP billing code A680?

A680 is "Initial assessment – substance abuse", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A680 pay?

The current OHIP fee for A680 is $164.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A680 to OHIP?

A680 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A680 claims against the Schedule of Benefits rules before submission.

What codes are related to A680?

Codes related to A680 in the Schedule of Benefits include C680, A957, K039, E079.

All codes

A680

A680 – Initial assessment – substance abuse

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

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Levels of this visit

The A68x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A680 Initial assessment – substance abuse(this code)
Initial assessment substance abuse is an assessment where the physician spends a minimum of 50 minutes in direct contact with the patient assessing a patient related to substance…
$164.95

Consultations

A682 Extended special neurology consultation
A consultation in which the neurologist provides all elements of a consultation (A185) and spends a minimum of 90 minutes in direct contact with the patient, exclusive of time…
$442.40

Initial assessment - substance abuse is an assessment where the physician spends a minimum of 50 minutes in direct contact with the patient assessing a patient related to substance abuse with or without the patient's relative(s) or patient’s representative, exclusive of time spent rendering any other service that is separately eligible for payment to the patient.

Start and stop times of the service must be recorded in the patient’s permanent medical record.

A DSM diagnosis must be recorded in relation to each problematic substance in the patient’s permanent medical record.

Relevant information obtained in the provision of all elements of the service must be recorded in the medical record.

Usage limits

Limited to one per patient per physician or practice group except in circumstances where a 12 month period has elapsed since the most recent insured service rendered to the patient by the same physician.

C680Initial assessment – substance abuse (Hospital)A957Focused Practice - Smoking Cessation K039Smoking cessation counselling E079

Practice group is defined as those physicians who are part of the same billing group or are co-located and have shared access to the patient’s medical record.

Time calculation excludes non-patient-facing time such as reviewing charts, imaging, or documentation.

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