What is OHIP billing code A935?

A935 is "Special surgical consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A935 pay?

The current OHIP fee for A935 is $194.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A935 to OHIP?

A935 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A935 claims against the Schedule of Benefits rules before submission.

What codes are related to A935?

Codes related to A935 in the Schedule of Benefits include C935.

All codes

A935

A935 – Special surgical consultation

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

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Levels of this visit

The A93x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

A930 Uveitis and ocular inflammatory diseases consultation
A consultation for a patient with a uveitis, ocular inflammatory or orbital inflammatory disorder, rendered by an ophthalmologist with fellowship training in these diseases.
$157.00
A935 Special surgical consultation(this code)
A special surgical consultation is rendered when a surgeon provides all the appropriate elements of a regular consultation and is required to devote at least fifty minutes…
$194.65

A special surgical consultation is rendered when a surgeon provides all the appropriate elements of a regular consultation and is required to devote at least fifty minutes exclusively to the consultation with the patient. The calculation of the 50 minute minimum excludes time devoted to any other service or procedure for which an amount is payable in addition to the consultation. A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon who, in light of his/her professional knowledge of the patient, requests the opinion of a physician (the "consultant physician”) competent to give advice in this field because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. The service includes all services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring practitioner. See and for full details.

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, 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.

The physician must record on the patient's permanent medical record or chart the time when the insured service started and ended to document the minimum 50 minute duration.

C935

In the preoperative preparation of a patient undergoing the following low risk elective surgical procedures under local anaesthesia and/or I.V. sedation, a preoperative consultation by any physician is only eligible for payment where the medical record demonstrates the consultation is medically necessary. a.cataract surgery; b.colonoscopy; c.cystoscopy; d.carpal tunnel surgery; or e.arthroscopic surgery.

Commentary: Such medically necessary consultations would be very uncommon.

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