What are the billing rules for A760A?

Limited to 6 per patient per physician per 12 months, and 12 per patient per physician in 24 consecutive months; extras are paid at a lesser assessment fee (A98). E078 chronic disease assessment premium is not payable with A760 (A98). Can be billed by video or telephone as comprehensive virtual care with an existing patient-physician relationship; add K300A or K301A, and telephone pays 85% (AJ1, A70).

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Billing code

A760A — Complex Endocrine Neoplastic Disease Assessment

Q: What is OHIP billing code A760A?

Endocrinologist's assessment for a complex thyroid, parathyroid, pituitary or adrenal neoplasm. Max 6 per 12 months; no E078.

Complex endocrine tumour assessment

Bill A760 for an endocrinologist's ongoing management of a complex thyroid, parathyroid, pituitary or adrenal neoplasm.

Watch for: Limited to 6 per patient per 12 months; E078 isn't payable with it, and uncomplicated endocrine disorders don't qualify.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$0.00	$102.95	$0.00	$0.00	$0.00

Code: A760A
Description: Complex Endocrine Neoplastic Disease 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

Endocrinologist's assessment for a complex thyroid, parathyroid, pituitary or adrenal neoplasm. Max 6 per 12 months; no E078.

What it covers

A760 is an assessment for one or more of thyroid, parathyroid, pituitary or adrenal neoplasm, where the complexity of the condition needs ongoing management by an endocrinologist (A98).

It must include the elements of a medical specific re-assessment, or it is paid as a lesser assessment (A98). It is not payable for evaluating or managing uncomplicated endocrine disorders (A98).

Billing rules

Limited to 6 per patient per physician per 12 months, and 12 per patient per physician in 24 consecutive months; extras are paid at a lesser assessment fee (A98).
E078 chronic disease assessment premium is not payable with A760 (A98).
Can be billed by video or telephone as comprehensive virtual care with an existing patient-physician relationship; add K300A or K301A, and telephone pays 85% (AJ1, A70).
Detention (K001) can only start after 60 minutes of a complex endocrine neoplastic disease assessment (GP30).
In-patient and long-term care equivalents are C760 and W760, subject to the same conditions (A102, A103).

Related codes: A151, A154, A153, C760, W760, E078

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Endocrinology & Metabolism (15), page A98 (complex endocrine neoplastic disease assessment); General Preamble GP30 (detention)

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