What are the billing rules for A076A?

Specialists bill from the Consultations and Visits listing for their own Royal College specialty on file with the Ministry, here Geriatrics (07) (GP9). Needs a new written, signed request naming the referrer and their billing number (GP16, GP19). Repeat consultations don't count toward the consultation limits, but if the repeat-consultation conditions aren't met OHIP pays a general or specific assessment instead (GP18).

Why is A076A rejected?

ARF: OHIP describes this as 'Missing Physician Referring Number': a consultation claim needs the referring physician's or nurse practitioner's billing number (GP16). AT2: OHIP describes this as 'Must include video modality': this code is video-only in Appendix J, so it can't be billed by phone with K301A (AJ2).

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Billing code

A076A — Geriatric repeat consultation

Q: What is OHIP billing code A076A?

Second consultation by the same geriatrician for the same problem, after another physician has cared for the patient in between.

Geriatric repeat consultation

A geriatrician bills A076 for a second consultation on the same problem after another physician cared for the patient in between.

Watch for: Needs a new written request with the referrer's billing number on the claim; by video only, never by telephone.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$0.00	$113.35	$0.00	$0.00	$0.00

Code: A076A
Description: Geriatric repeat consultation
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

Second consultation by the same geriatrician for the same problem, after another physician has cared for the patient in between.

What it covers

A076 is the Geriatrics (07) repeat consultation (A120). A repeat consultation is another consultation by the same consultant for the same presenting problem, after another physician has cared for the patient in between. It needs a new written request (GP19).

It has the same requirements as a consultation, including the written request and a written report to the referrer (GP16, GP19).

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).
Needs a new written, signed request naming the referrer and their billing number (GP16, GP19).
Repeat consultations don't count toward the consultation limits, but if the repeat-consultation conditions aren't met OHIP pays a general or specific assessment instead (GP18).
Send a written report with your findings, opinion and recommendations to the referrer, and also to the primary care provider when a nurse practitioner referred (GP16).
Detention (K001) can be added only after 60 minutes of consultation time (GP30–GP31).
Can be done by video only, not phone, with modality indicator K300A. A video consultation listed in Appendix J itself creates the patient relationship needed for virtual care (AJ2, A66, A70).

Common rejections

ARF: OHIP describes this as 'Missing Physician Referring Number': a consultation claim needs the referring physician's or nurse practitioner's billing number (GP16).
AT2: OHIP describes this as 'Must include video modality': this code is video-only in Appendix J, so it can't be billed by phone with K301A (AJ2).

Related codes: A075, A375, A775, C076, W076, A074

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Geriatrics (07), page A120. Repeat consultation GP19.

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