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Billing code

A071A — Geriatric complex medical specific re-assessment

Complex geriatric re-assessment

A geriatrician bills A071 to re-assess a complex, obscure or serious condition in a patient 65 or older, or for dementia at any age.

Watch for: Send your findings in writing to the patient's primary care physician, or OHIP pays a lesser assessment fee.

Code

A071A

Description

Geriatric complex medical specific re-assessment

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Re-assessment by a geriatrician for a complex, obscure or serious condition, with a written report to the family doctor. Patients 65+ or dementia.

What it covers

A071 is the Geriatrics (07) complex medical specific re-assessment (A120). A complex medical specific re-assessment is a re-assessment needed because the patient's condition is complex, obscure or serious. It includes everything in a medical specific re-assessment (GP24).

It is limited to patients at least 65 years old, or to assessments for dementia at any age (A120).

Billing rules

• Specialists bill from the Consultations and Visits listing for their own Royal College specialty on file with the Ministry, here Geriatrics (07) (GP9).
• Only payable for a patient at least 65 years old, or at any age when the visit is to assess dementia (A120).
• Send your findings, opinion or recommendations in writing to the patient's primary care physician, or OHIP pays a lesser assessment fee (GP24).
• Limited to 4 per patient per physician per 12 months, and counts toward the combined limit of 4 with medical specific assessments. Extras pay a lesser fee (GP24).
• Add E078 (chronic disease assessment premium, +50%) in the office or a hospital out-patient clinic when the patient has an established chronic disease from the GP26 list on the claim, such as 290 dementia, 332 Parkinson's disease or 250 diabetes. Not payable for in-patients, LTC residents or ED patients (GP25–GP26).
• Can be done by video or phone when you have an existing relationship with the patient (for example, an in-person visit with you in the past 24 months). Add K300A (video) or K301A (phone); phone pays 85% of the fee (AJ1, A66, A70).

Often billed with

• E078 chronic disease assessment premium for an established chronic disease on the GP26 list (GP25–GP26).

Common rejections

• AT3: Billed as virtual care (K300A/K301A) but OHIP found no existing patient-physician relationship, such as an in-person service with you in the past 24 months (A66).

Related codes: A073, A074, A078, C071, E078

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Geriatrics (07), page A120. Assessment rules GP23–GP26.

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