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Billing code

A008A — Mini Assessment - Billed with WSIB minor Assessment

Mini assessment beside WSIB visit

Bill A008 for an unrelated non-WSIB problem assessed at the same visit as a WSIB-related minor assessment.

Watch for: Only payable when the WSIB part of the visit was billed as A001; any other or higher WSIB service blocks it.

Code

A008A

Description

Mini Assessment - Billed with WSIB minor Assessment

FHO+ basket

Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Mini assessment for an unrelated non-WSIB problem seen at the same visit as a WSIB minor assessment. Payable only when the WSIB part was an A001.

What it covers

A mini assessment is rendered when a patient is assessed for an unrelated non-WSIB problem during the same visit as an assessment of a WSIB-related problem for which only a minor assessment was rendered (A4).

Billing rules

• Only payable when the WSIB part of the visit is the service described as A001. If a different service or a higher level of assessment is claimed for the WSIB part, A008 isn't payable in addition (A4).
• Can be billed by video or telephone as comprehensive virtual care with an existing patient-physician relationship; add K300A or K301A, and telephone pays 85% (AJ1, A70).
• FHO: A008A is an in-basket core service (Agreement Schedule 2, p.75).

Often billed with

• FHO: Q012A after-hours premium for enrolled patients in evening and weekend hours or on holidays; A008A is on the eligible list (Agreement p.68; OMA Q-codes p.8).
• E080 for the primary care physician's first office or home visit within two weeks of an acute care discharge (GP28).
• E079 smoking cessation initial discussion, once per patient per 12 months (A56).
• K301A or K300A modality indicator when the visit is by phone or video (A70).

Common rejections

• VW1: OHIP's description is 'Invalid WCB service'. A008 is only payable for an unrelated non-WSIB problem when the WSIB part of the visit was an A001 (A4); check the claim against that before resubmitting.

Related codes: A001, A007, E080, E079, K301, Q012

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), Mini assessment, page A4

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