What is OHIP billing code A925?

A925 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A925 pay?

The current OHIP fee for A925 is $123.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A925 to OHIP?

A925 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A925 claims against the Schedule of Benefits rules before submission.

What codes are related to A925?

Codes related to A925 in the Schedule of Benefits include A725, A720, A726, C925, W925.

All codes

A925

A925 – Limited consultation

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

Ask a question

Levels of this visit

The A92x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A927 Allergy Focused practice assessment
Focused practice assessment (FPA) rendered by a GP/FP physician with additional training and/or experience in allergy.
$44.55

Consultations

A925 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.
$123.10

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. It is rendered by a specialist in occupational medicine following a written request from a referring physician, nurse practitioner, or dental surgeon to provide an opinion on a patient's condition.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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

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

The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

A copy of the signed written request must be maintained in the physician's medical record (except in hospitals/LTCs with common records).

The request must identify the consultant, the referring provider (name and billing number), and the patient (name and health number).

The request must specify the information relevant to the referral and the services required.

Usage limits

Limited to one service per two consecutive 12-month periods for the same patient by the same physician for the same diagnosis. A second consultation within 12-24 months is only eligible if rendered to a hospital inpatient or in an Emergency Department. Limited to one service every 12 months for a clearly defined unrelated diagnosis.

A725Consultation A720Comprehensive occupational medicine consultation A726Repeat consultation C925Limited consultation (Hospital In-patient)W925Limited consultation (Long-term care facility)

If the requirements for a consultation (e.g., written request, report) are not met, the fee will be adjusted to a lesser assessment fee (e.g., A723).

Eligible for age-based fee premiums for patients under 16 years of age (30% for <30 days, 25% for 30 days to <1 year, 20% for 1 to <2 years, 15% for 2 to <5 years, 10% for 5 to <16 years).

Special visit premiums (Travel and First Person Seen) may be applicable if the service is non-elective and meets travel/time requirements.

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