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Billing code

A318A — Physical medicine and rehabilitation partial assessment

Brief physiatry visit

A physiatrist bills A318 for a partial assessment: history of the complaint, the needed exam, advice and a record.

Watch for: Billed as virtual care only with an existing patient relationship and K300A or K301A; telephone pays 85% of the fee.

Code

A318A

Description

Physical medicine and rehabilitation 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

Limited physiatrist visit: history of the presenting complaint, the needed exam, advice to the patient and a record.

What it covers

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).

A318 is the Physical Medicine & Rehabilitation (31) code in the General Listings (A175).

Billing rules

• Add E078 (+50%) in the office or a hospital out-patient clinic (not ED, in-patient or LTC) when the patient has an established chronic disease and the claim uses one of the listed diagnostic codes, for example 340 MS, 343 cerebral palsy or 714 rheumatoid arthritis (A175, GP25, GP26).
• Can be done by video or telephone with an existing patient-physician relationship; add K300A (video) or K301A (telephone). Telephone pays 85% of the fee (Appendix J AJ1, A66, A70).

Often billed with

• E078 chronic disease assessment premium (A175, GP25).
• K001 detention after 30 minutes (GP30).

Common rejections

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

Related codes: A310, A313, A311, E078

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Physical Medicine & Rehabilitation (31), page A175.

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