What is OHIP billing code A715?

A715 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A715 pay?

The current OHIP fee for A715 is $196.55, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A715 to OHIP?

A715 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A715 claims against the Schedule of Benefits rules before submission.

What codes are related to A715?

Codes related to A715 in the Schedule of Benefits include A710, A915, A116, C715.

All codes

A715

A715 – Consultation

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
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(this code)
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 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 Critical Care Medicine because of the complexity, seriousness, or obscurity of the case. It includes the services necessary to enable the consultant to prepare a written report to the referring provider.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Written request from a referring physician, NP, or dental surgeon must be in the medical record.

Written report must be provided to the referring physician/NP.

Must include a general, specific, or medical specific assessment.

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 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.

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

Usage limits

One per 24 months for the same diagnosis (with exceptions for hospital/ED settings); one per 12 months for an unrelated diagnosis.

A710Comprehensive critical care medicine consultation A915Limited consultation A116Repeat consultation C715Consultation (In-patient)

A715A is designated for Video Only virtual care.

Eligible for special visit premiums if criteria are met.

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