OHIP Code A003: General assessment (Fee Guide)

What is OHIP Billing Code A003?

OHIP code A003 refers to General assessment. This page summarizes typical billing context, key notes, and common questions for Ontario physicians.

Billing Requirements & Rules

• When to use: Comprehensive exam with full history. One per 12 months unless unrelated diagnosis.

How to Review This Code

Use this dictionary page as a quick reference before checking the official OHIP Schedule of Benefits, local billing policies, and the clinical documentation in the patient chart. Confirm that the visit, service, provider type, patient eligibility, and any timing or modifier rules match the code description before submitting a claim.

For audit readiness, document the clinical reason for the encounter, the service performed, relevant time or complexity requirements when they apply, and any counselling, forms, procedures, or follow-up instructions that support the selected billing code.