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Billing code

A102A — Limited Virtual Care by Telephone

Limited virtual care by phone

Bill A102 for a telephone assessment of a patient with no existing relationship: no in-person visit with you in 24 months and not enrolled.

Watch for: If you do have an existing relationship, bill the in-person code with K300A or K301A instead of A102.

Code

A102A

Description

Limited Virtual Care by Telephone

FHO+ basket

Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).

Effective date

Jun 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Limited virtual care by phone, for a patient with no existing relationship with the physician (no in-person visit in 24 months, not enrolled).

What it covers

A102 is limited virtual care by telephone: an assessment by synchronous audio-only telephone, for a patient who has no existing patient-physician relationship with the physician (A67, A73).

An existing relationship includes an in-person insured service by that physician in the past 24 months, or enrolment to that physician or their group. Without one, comprehensive virtual codes can't be billed, and limited virtual care is the option (A66, A70).

Billing rules

• Bill limited virtual care only when there is no existing patient-physician relationship. With a relationship, bill the in-person code with K300A or K301A instead (A66, A70).
• The service must include at least a history and a medically appropriate exam, a diagnosis, and a management plan or management (A73).
• Not payable if the service can't be done properly without an in-person exam; then only the in-person service is paid (A67).
• The visit must be initiated by the patient or their representative, or be a medically necessary follow-up. Check-in and administrative calls are not payable (A68).
• The chart must record the modality used (A68).
• The patient and physician must both be in Ontario, and the physician must render the service personally (A69).
• The virtual care premiums on page A74 apply only to comprehensive virtual care, not to limited virtual care (A74).

Common rejections

• EH2: The health card version code doesn't match the Ministry's record. Get the current version code and resubmit.
• R04: OHIP's description is 'service excluded from RMBS', the reciprocal billing system for patients insured by another province. The service can't be billed through reciprocal billing for that patient.

Related codes: A101, K301, K300, A007, A001

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Virtual Care Services, pages A66 to A73; Appendix J Section 2 (AJ3)

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