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Billing code

A206A — Obstetrics and gynaecology repeat consultation

OB/GYN repeat consultation

An obstetrician-gynaecologist bills A206 for another 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; virtually, by video only, not telephone.

Code

A206A

Description

Obstetrics and gynaecology 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

A repeat OB/GYN consultation for the same problem after another physician has cared for the patient since your first consultation.

What it covers

A repeat consultation is an additional consultation by the same consultant for the same presenting problem, after another physician has cared for the patient in the interval since the first consultation (GP19).

A206 is the Obstetrics and Gynaecology (20) office and general listing. Includes, where indicated, biopsy of the cervix, collection of cervical cancer screening specimen(s) and examination of a trichomonas suspension (A151).

Billing rules

• Needs a new written request from the referring physician, nurse practitioner or dental surgeon, like any consultation (GP19).
• Repeat consultations don't count toward the consultation limits (GP18).
• If the repeat consultation requirements aren't met, it is paid as a general or specific assessment (GP18).
• Add E432 when a pelvic exam with speculum is done outside a hospital or ICHSC. E432 is limited to one per patient per day, must be done personally, and is not payable with E430, E431 or E542 (A150).
• Cervical screening collection is included when the pelvic exam is a normal part of the visit, but E430 or E431 can be added when it is done outside a hospital or ICHSC (A150).
• Patients under 16 get an age premium of 10% to 30% on specialist consultations (GP64).
• Can be done by video only (not phone) with an existing patient-physician relationship; add K300A (Appendix J AJ2, A70).

Often billed with

• E432 pelvic exam with speculum outside hospital or ICHSC (A150).
• E430 or E431 cervical cancer screening collection (A150).

Common rejections

• ARF: OHIP describes this as 'Missing Physician Referring Number': a consultation needs the referring physician's or nurse practitioner's billing number from the written request (GP16).
• AT2: OHIP describes this as 'Must Include Video Modality': this code is on the video-only virtual list, so it can't be billed by phone (K301A) (Appendix J AJ2).

Related codes: A205, A203, A204, C206, E432

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Obstetrics and Gynaecology (20), page A150. Rules GP18–GP19.

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