What is OHIP billing code A713?

A713 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A713 pay?

The current OHIP fee for A713 is $95.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A713 to OHIP?

A713 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A713 claims against the Schedule of Benefits rules before submission.

What codes are related to A713?

Codes related to A713 in the Schedule of Benefits include A715, A710, A915, A116, A114, A111, A118, C713.

All codes

A713

A713 – Medical specific assessment

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

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Levels of this visit

The A71x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A713 Medical specific assessment(this code)
A medical specific assessment is a service rendered by a specialist in a place other than a patient’s home.
$95.95

Consultations

A715 Consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon who requests the opinion of a specialist in…
$196.55
A710 Comprehensive critical care medicine consultation
A consultation rendered by a specialist in critical care medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact…
$342.25

A medical specific assessment is a service rendered by a specialist in a place other than a patient’s home. It requires a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function.

Full history of the presenting complaint.

Detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function.

Includes all specific elements of assessments as defined in (direct physical encounter, inquiry, making arrangements for follow-up, etc.).

Usage limits

Limited to one per patient per physician per 12-month period. The limit is increased to two if: (1) the patient presents with a clearly different and unrelated diagnosis, or (2) at least 90 days have elapsed and the second assessment is a hospital admission assessment. Claims in excess of these limits are adjusted to a lesser assessment fee.

A715Consultation A710Comprehensive critical care medicine consultation A915Limited consultation A116Repeat consultation A114Medical specific re-assessment A111Complex medical specific re-assessment A118Partial assessment C713Medical specific assessment (In-patient)

Listed under Critical Care Medicine (11) General Listings.

If rendered in the Emergency or Out-patient Department (OPD) by a physician not on duty, use this General Listing code.

A713A is the virtual care version of this service.

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