What is OHIP billing code A912?

A912 is "Comprehensive family and general practice consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A912 pay?

The current OHIP fee for A912 is $247.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A912 to OHIP?

A912 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A912 claims against the Schedule of Benefits rules before submission.

What codes are related to A912?

Codes related to A912 in the Schedule of Benefits include A911, A005, K023.

All codes

A912

A912 – Comprehensive 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
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(this code)
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 75 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

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 .

Usage limits

Limited to one service per two consecutive 12-month periods for the same diagnosis (unless it qualifies as a repeat consultation). Consultations for a clearly defined unrelated diagnosis are limited to one every 12 months.

A911Special family and general practice consultation (50 min)A005Consultation K023Palliative care support (time-based units)

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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