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Billing code

A084A — Partial assessment – plastic surgery

Brief plastic surgery visit

A plastic surgeon bills A084 for a partial assessment: history of the complaint, the needed exam, advice and a record.

Watch for: If your decision-to-operate visit is the same day as a Z-code procedure, no assessment before the procedure is payable.

Code

A084A

Description

Partial assessment – plastic surgery

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

Plastic surgeon's partial assessment: history of the presenting complaint, the needed exam, advice and a record.

What it covers

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

A084 is the plastic surgery general (A-prefix) listing (A181).

Billing rules

• If your major pre-operative visit for a Z-code procedure (IOP) was in the prior 12 months, a partial assessment is the only assessment payable earlier the same day as the IOP (SP4 §13).
• If the major pre-operative visit is the same day as the IOP, no other assessment before it is payable (SP4 §13).
• Can be done by video or phone with an existing relationship; add K300A or K301A (Appendix J, A70).

Common rejections

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

Related codes: A083, A085, A086, A935, C084

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Plastic Surgery (08), page A181; rules GP25.

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