What is OHIP billing code A728?

A728 is "Partial assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A728 pay?

The current OHIP fee for A728 is $44.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A728 to OHIP?

A728 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A728 claims against the Schedule of Benefits rules before submission.

What codes are related to A728?

Codes related to A728 in the Schedule of Benefits include A725, A720, A925, A723, C728.

All codes

A728

A728 – Partial assessment

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

Ask a question

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(this code)
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
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

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 record.

History of the presenting complaint.

Necessary physical examination.

Advice to the patient.

Appropriate medical record.

Usage limits

No specific frequency limit is defined for partial assessments, provided they are medically necessary.

A725Consultation A720Comprehensive occupational medicine consultation A925Limited consultation A723Medical specific assessment C728Concurrent care (Hospital version of subsequent visit)

A728 is the office/out-patient version of a partial assessment for Occupational Medicine.

If the physician is in the hospital but not on duty in the Emergency Department, A728 should be used for assessments in the OPD.

Eligible for virtual care via both video and telephone (listed in Appendix J, Section 1).

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in