What is OHIP billing code A906?

A906 is "GP focused practice limited consultation by Video", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A906 pay?

The current OHIP fee for A906 is $80.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A906 to OHIP?

A906 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A906 claims against the Schedule of Benefits rules before submission.

What codes are related to A906?

Codes related to A906 in the Schedule of Benefits include A010, A011, A913, A914.

All codes

A906

A906 – GP focused practice limited consultation by Video

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

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A limited consultation rendered by a GP Focused Practice Physician via Video, requiring a full, relevant history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, exclude disease, and/or assess function.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Must be rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based insured dental procedures).

The consultant must prepare and submit a written report (findings, opinions, and recommendations) to the referring provider.

The request must identify the consultant, the referrer (name and billing number), and the patient (name and health number).

A copy of the signed written request must be maintained in the physician's medical record.

The service must be performed using a 'Verified-Virtual Visit Solution' (Ontario Health verified platform).

The delivery modality (Video) must be documented in the patient's medical record.

Usage limits

Consultations for the same patient by the same physician for the same diagnosis are limited to one service per two consecutive 12-month periods. Consultations for a clearly defined unrelated diagnosis are limited to one service every 12 months.

A010GP focused practice consultation by Video A011GP focused practice repeat consultation by Video A913GP focused practice special consultation by Video (min 50 min)A914GP focused practice comprehensive consultation by Video (min 75 min)

A limited consultation is defined as being less demanding and requiring substantially less time than a full consultation.

If the requirements for a consultation (e.g., written request/report) are not met, the fee will be adjusted to a lesser assessment fee.

Virtual Care Services are not eligible for payment for services provided to hospital inpatients or patients in a Long-Term Care institution unless all of the following requirements have been met: The physician providing the service is not the patient's MRP. The hospital/Long-Term Care institution does not have a physician on staff and present in the community with the expertise to render the necessary service, as documented by the referring physician in the patient’s medical record. An assessment with a direct physical encounter by the referring physician must have been completed within 30 days preceding a virtual in-patient specialist consultation to confirm the need for a consultation.

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