A912 – Comprehensive family and general practice consultation
OHIP General Listings Code — CONSULTATIONS AND VISITS · Schedule of Benefits
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 time spent rendering any other separately billable intervention to the patient.
When to Use
- Bill A912 when a patient presents with multiple complex, undiagnosed chronic conditions requiring extensive history taking and physical examination over a minimum of 75 minutes.
- Use A912 for a patient referred for a second opinion on a rare or obscure diagnosis that necessitates a prolonged discussion and detailed assessment to formulate a management plan.
- A912 is appropriate for a patient with significant psychosocial factors impacting their health, requiring a comprehensive assessment that extends beyond a standard consultation duration.
Common Pitfalls
- Billing A912 when the direct patient contact time is less than 75 minutes, which will result in a fee adjustment to a lesser assessment.
- Failing to record the start and stop times of the patient encounter in the medical record, leading to a reduced payment for the service.
- Submitting A912 when another consultation (e.g., A911) or a visit code (e.g., A005) was rendered to the same patient on the same day by the same physician, as this is not permitted.
Billing Tips
- Ensure the referral note clearly outlines the complexity of the case and justifies the need for an extended consultation, supporting the use of A912.
- Document the specific elements of the comprehensive assessment performed, including review of all available data, detailed physical examination, and formulation of a management plan, to meet the requirements of A912.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Consultations and Visits
Consultation
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.
A written report (including findings, opinions, and recommendations) must be sent to the referring physician, nurse practitioner or dental surgeon.
Start and stop times must be recorded in the patient’s permanent medical record.
A minimum of 75 minutes of direct contact with the patient is required, exclusive of time spent rendering any other separately billable intervention to the patient and non-patient-facing time.
Must satisfy all elements of a consultation as defined on page .
The 75-minute minimum is strictly for direct contact and excludes time for other services or non-patient-facing tasks.
If the referral is from a nurse practitioner, the report must be sent to both the NP and the patient's primary care provider (if applicable).
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