A913 – GP focused practice special consultation by Video
OHIP General Listings Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A consultation rendered by a GP Focused Practice Physician who completes a full, relevant history of the presenting complaint and detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function and who 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.
When to Use
- Bill A913 when a GP Focused Practice Physician spends a minimum of 50 minutes via video for a new, complex patient issue requiring a full history and detailed examination, and a report is sent to the referring physician.
- Use A913 for a patient requiring a comprehensive virtual assessment of a specific chronic condition managed by the GP Focused Practice Physician, provided the 50-minute duration is met and all other requirements are fulfilled.
- A913 is appropriate for a patient referred for a second opinion on a complex diagnosis via video, where the physician dedicates at least 50 minutes to the virtual encounter and documentation.
Common Pitfalls
- Billing A913 when the total direct patient contact time is less than 50 minutes, as this is a strict requirement and will lead to rejection.
- Failing to document the video modality (K300A) or the start/stop times of the 50-minute encounter in the patient's chart, which are crucial for audit.
- Submitting A913 when another consultation or visit code (e.g., A010, A906, A914) is more appropriate based on the duration or complexity of the virtual encounter.
Billing Tips
- Ensure the written report to the referring provider includes detailed findings, opinions, and specific recommendations, as this is a key deliverable for A913.
- Remember that A913 cannot be billed on the same day as any other consultation, assessment, visit, or counselling service to the same patient by the same physician.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Virtual Care
Consultation
Calculation of the 50-minute minimum excludes time devoted to any other separately billable service.
Calculation of time excludes non-patient-facing time (e.g., reviewing charts, imaging, or documentation).
If the service cannot be appropriately completed without a direct physical encounter, the virtual service is not eligible for payment; only the subsequent in-person service may be claimed.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.