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Billing code

A354A — Urology partial assessment

Urology follow-up visit

A urologist bills A354, the usual follow-up office visit, for a 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

A354A

Description

Urology 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

Partial assessment by a urologist: history of the complaint, the needed exam, advice and a record.

What it covers

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

It is the usual follow-up office visit in the Urology listings (A206).

Billing rules

• On the day of a Z-code procedure, if you did the major pre-operative visit in the prior 12 months, a partial assessment is the only assessment payable before the procedure; if the major pre-operative visit is that same day, no other assessment is payable before it (SP4).
• Detention (K001) may start after 30 minutes (GP30).
• Can be done by video or telephone with an existing relationship; add K300A or K301A (Appendix J, A66).

Common rejections

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

Related codes: A353, A355, Z606, C354

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Urology (35), page A206.

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