What are the billing rules for A920A?

Consultations, assessments and counselling, and procedures that are generally accepted parts of the service, are not payable to the same physician for the same patient on the same day as A920 (K4). A920 can be given by video or telephone as comprehensive virtual care (Appendix J AJ1). Bill the in-person fee value with K300A for video or K301A for telephone; OHIP pays telephone at 85% (A70). Providing A920 by video or telephone itself counts as an existing patient-physician relationship, so follow-up virtual services in the next 24 months can be billed as comprehensive virtual care (A66-A67).

What is A920A often billed with?

K301A when the service is given by telephone, or K300A by video (A70, AJ1).

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Billing code

A920A — Medical Management Of Early Pregnancy Initial Service

Q: What is OHIP billing code A920A?

Initial assessment plus cytotoxic medication to end an early pregnancy or missed abortion. No same-day assessment or counselling by the same physician.

Early pregnancy medical management

Bill A920 for the initial assessment and giving cytotoxic medication to end an early pregnancy or missed abortion; drug cost isn't included.

Watch for: No consultation, assessment or counselling by the same physician for the same patient that day is payable.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$193.70	$0.00	$0.00	$0.00	$0.00

Code: A920A
Description: Medical Management Of Early Pregnancy Initial Service
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

Initial assessment plus cytotoxic medication to end an early pregnancy or missed abortion. No same-day assessment or counselling by the same physician.

What it covers

A920 is the initial service for medical management of early pregnancy: the physician's initial assessment and administration of cytotoxic medication(s) for termination of an early pregnancy or a missed abortion (K4). The cost of the drugs is not included in the fee (K4).

The Schedule's commentary says it must be provided to professional standards, such as those of the Society of Obstetricians and Gynaecologists of Canada (K4). Follow-up visits are billed as A921; ectopic pregnancy is A922 (K4, K5).

Billing rules

Consultations, assessments and counselling, and procedures that are generally accepted parts of the service, are not payable to the same physician for the same patient on the same day as A920 (K4).
A920 can be given by video or telephone as comprehensive virtual care (Appendix J AJ1). Bill the in-person fee value with K300A for video or K301A for telephone; OHIP pays telephone at 85% (A70).
Providing A920 by video or telephone itself counts as an existing patient-physician relationship, so follow-up virtual services in the next 24 months can be billed as comprehensive virtual care (A66-A67).

Often billed with

K301A when the service is given by telephone, or K300A by video (A70, AJ1).

Related codes: A921, A922, P001, K300, K301

Source: Schedule of Benefits (July 1, 2026), Obstetrics, Prenatal Care, page K4; Virtual Care A66-A67, A70; Appendix J AJ1

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