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Billing code

A078A — Geriatric partial assessment

Brief geriatric visit

A geriatrician bills A078 for a partial assessment (history, needed exam and advice) of a patient 65 or older, or for dementia at any age.

Watch for: Only payable for patients 65 or older, or at any age when assessing dementia.

Code

A078A

Description

Geriatric partial 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

Brief geriatric assessment: history of the complaint, needed exam and advice. For patients 65+ or any patient being assessed for dementia.

What it covers

A078 is the Geriatrics (07) partial assessment (A120). A partial assessment is a limited service: a history of the presenting complaint, the necessary physical examination, advice to the patient and an appropriate record (GP25).

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).
• Only one assessment is paid per visit, even if you hold more than one specialty (GP10).
• 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, A071, A075, E078

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

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