What is OHIP billing code A915?

A915 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A915 pay?

The current OHIP fee for A915 is $122.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A915 to OHIP?

A915 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A915 claims against the Schedule of Benefits rules before submission.

What codes are related to A915?

Codes related to A915 in the Schedule of Benefits include A715, A710, A116, C915.

All codes

A915

A915 – Limited consultation

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

Ask a question

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(this code)
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
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 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. Otherwise, a limited consultation has the same requirements as a full consultation, including a written request from a referring physician, nurse practitioner, or dental surgeon, and a written report to the referring provider.

Written request identifying the consultant, referring provider, and patient.

Written report including findings, opinions, and recommendations.

Assessment of the patient and review of all relevant data.

Usage limits

Limited to one service per two consecutive 12-month periods for the same patient by the same physician for the same diagnosis.

A715Consultation A710Comprehensive critical care medicine consultation A116Repeat consultation C915Limited consultation (In-patient)

Eligible for age-based fee premiums for patients under 16 years of age ().

If the physician is not on duty in the Emergency Department, A915 may be used for consultations rendered in the ED ().

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in