What is OHIP billing code A114?

A114 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does A114 pay?

The current OHIP fee for A114 is $72.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill A114 to OHIP?

A114 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates A114 claims against the Schedule of Benefits rules before submission.

What codes are related to A114?

Codes related to A114 in the Schedule of Benefits include A713, A111, A118, C114.

All codes

A114

A114 – Medical specific re-assessment

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

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Levels of this visit

The A11x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

A118 Partial assessment
A partial assessment is the limited service that constitutes a history of the presenting complaint, the necessary physical examination, advice to the patient and appropriate…
$44.75
A110 Periodic oculo-visual assessment
A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…
$48.90
A112 Periodic oculo-visual assessment - aged 65 years and above
A periodic oculo-visual assessment is an examination of the eye and vision system rendered primarily to determine if a patient has a simple refractive error (defined as myopia…
$48.90
A114 Medical specific re-assessment(this code)
A medical specific re-assessment is a service rendered by a specialist that requires a full, relevant history and physical examination of one or more systems.
$72.00
A111 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition and includes all the…
$83.40
A113 Complex neurological assessment
An assessment for the ongoing management of complex chronic neurological conditions where the complexity of the condition requires the continuing management by a neurologist and…
$120.00

Consultations

A116 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$122.00

A medical specific re-assessment is a service rendered by a specialist that requires a full, relevant history and physical examination of one or more systems.

Requires a full, relevant history and physical examination of one or more systems.

If rendered as a hospital admission assessment, it is subject to the rules in (e.g., if the physician has previously assessed the patient for the same illness within 90 days).

Usage limits

Limited to two per patient per physician per consecutive 12 month period, except for specific re-assessments rendered for hospital admissions.

A713Medical specific assessment A111Complex medical specific re-assessment A118Partial assessment C114Medical specific re-assessment (In-patient)

Admission assessments are deemed to be a medical specific re-assessment if the admitting physician has previously assessed the patient for the same presenting illness within 90 days ().

A114 is specifically listed under Critical Care Medicine (11) in the Schedule.

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