What is OHIP billing code A911?

A911 is "Special family and general practice consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A911 pay?

The current OHIP fee for A911 is $164.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A911 to OHIP?

A911 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A911 claims against the Schedule of Benefits rules before submission.

What codes are related to A911?

Codes related to A911 in the Schedule of Benefits include A005, A912, C911, W911.

All codes

A911

A911 – Special family and general practice consultation

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

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Levels of this visit

The A91x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

A915 Limited consultation
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician’s time than the full consultation.
$122.00
A911 Special family and general practice consultation(this code)
A consultation rendered by a GP/FP physician who provides all the elements of a consultation and spends a minimum of 50 minutes in direct contact with the patient, exclusive of…
$164.95
A912 Comprehensive family and general practice consultation
A consultation rendered by a GP/FP physician who provides all the elements of a consultation and spends a minimum of 75 minutes in direct contact with the patient, exclusive of…
$247.40

A consultation rendered by a GP/FP physician who provides all the elements of a consultation and spends a minimum of 50 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Must satisfy all the elements of a consultation as defined in the General Preamble ().

A written request from a referring physician, nurse practitioner, or dental surgeon (for insured hospital dental procedures) is mandatory.

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

A minimum of 50 minutes of direct contact with the patient is required.

Start and stop times must be recorded in the patient’s permanent medical record.

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

Limited to one service per two consecutive 12-month periods for the same diagnosis by the same physician. For a clearly defined unrelated diagnosis, the limit is one service every 12 months.

A005Consultation A912Comprehensive family and general practice consultation (75 min)C911Special family and general practice consultation (Inpatient)W911Special family and general practice consultation (Long-term care)

Time calculation excludes time devoted to any other service for which an amount is payable in addition to the consultation.

Time calculation excludes non-patient-facing time such as reviewing charts, imaging, or documentation.

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