What is OHIP billing code A723?

A723 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A723 pay?

The current OHIP fee for A723 is $95.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A723 to OHIP?

A723 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A723 claims against the Schedule of Benefits rules before submission.

What codes are related to A723?

Codes related to A723 in the Schedule of Benefits include C723, A724, A721, A728.

All codes

A723

A723 – Medical specific assessment

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

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Levels of this visit

The A72x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A728 Partial assessment
A partial assessment is the limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient and appropriate…
$44.75
A724 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist in Occupational Medicine (72) that requires a full, relevant history and physical examination of one or more…
$72.00
A721 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.
$83.40
A723 Medical specific assessment(this code)
Specific assessment and medical specific assessment are services rendered by specialists, in a place other than a patient’s home, and require a full history of the presenting…
$95.95

Consultations

A726 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$123.10
A725 Consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (in connection with an insured dental…
$192.85
A720 Comprehensive occupational medicine consultation
This service is a consultation rendered by a specialist in occupational medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in…
$342.25

Specific assessment and medical specific assessment are services rendered by specialists, in a place other than a patient’s home, and require a full history of the presenting complaint and 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 and 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.

Usage limits

One per patient per physician per 12 month period (max 2 if different diagnosis or 90 days elapsed for admission).

C723Medical specific assessment (In-patient)A724Medical specific re-assessment A721Complex medical specific re-assessment A728Partial assessment

If rendered in the Emergency Department while the physician is not on duty, use this General Listing code rather than H-prefix codes.

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