Billing code
A168A — Partial Assessment
Brief nephrology visit
A nephrologist bills A168 for a partial assessment: history of the complaint, the needed exam, advice and a record.
Watch for: The E078 chronic disease premium isn't available; E060 applies only for post-transplant care within three years, outside hospital and long-term care.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $44.75 | $0.00 | $0.00 | $0.00 |
- Code
- A168A
- Description
- 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
Nephrology (16) partial assessment: a limited visit with a history of the complaint, the needed exam, advice and a record.
What it covers
A168 is the partial assessment in the Nephrology (16) listing (A136). A partial assessment is the limited service of a history of the presenting complaint, the necessary physical examination, advice to the patient and an appropriate record (GP25).
Billing rules
- E060 post renal transplant premium (+50%) can be added by a nephrologist when the purpose is post-transplant care in the first three years after the transplant; not for ED, hospital in-patient or long-term care patients (A136, A137).
- E078 chronic disease premium isn't available: Nephrology (16) isn't on the GP25 specialty list (GP25).
- Detention (K001) can only start after 30 minutes (GP30).
- Can be billed by video or telephone as comprehensive virtual care with an existing relationship, with K300A or K301A; telephone pays 85% (A70, AJ1).
Often billed with
- K301A or K300A when the assessment is done by telephone or video (A70).
Common rejections
- AT3: Billed by video or phone (K300A/K301A), but OHIP found no existing relationship: no in-person service in 24 months and no enrolment to you or your group (A66). Otherwise bill A101/A102.
Related codes: A164, A163, A161, E060
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Nephrology (16), page A136; General Preamble GP25 (partial assessment)
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