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Billing code

A074A — Geriatric medical specific re-assessment

Geriatric follow-up re-assessment

A geriatrician bills A074 for a follow-up re-assessment of a patient 65 or older, or for dementia at any age.

Watch for: Limited to 2 per patient per physician per 12 months, except for hospital admissions; extras pay a lesser fee.

Code

A074A

Description

Geriatric 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

Follow-up specialist re-assessment by a geriatrician, for patients 65+ or any patient being assessed for dementia.

What it covers

A074 is the Geriatrics (07) medical specific re-assessment (A120). A medical specific re-assessment needs a full, relevant history and a physical examination of one or more systems (GP23).

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).
• Limited to 2 per patient per physician per 12 months, except re-assessments done for a hospital admission. Extras pay a lesser fee (GP23).
• 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, A071, A078, C074, E078

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

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