How do I fix OHIP error code VA?

Check the fee code's listing in the Schedule for what the procedure fee includes. If the visit and the procedure were for the same problem, the reduction is expected. If the visit was for an unrelated, significant problem in another body system, make sure the diagnostic code shows that. If you believe the payment is wrong, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with supporting details.

When shouldn't I resubmit a VA claim?

You disagree with how a claim already on the RA was paid. Use an RAI, not a new claim.

< Error codes

Error code

VA — Procedure fee reduced - consultation/visit fee not allowed with it

Q: What does OHIP error code VA mean?

OHIP reduced the procedure fee because a consultation or visit was paid with it and the two can't both be paid in full. Check the pairing.

Procedure reduced for visit

The procedure fee was reduced because a consultation or visit was also claimed, and the procedure fee already includes the assessment.

What to do: If the visit was for the same problem, the reduction is expected; only a visit for an unrelated, significant problem is payable.

Code: VA
Description: Procedure fee reduced - consultation/visit fee not allowed with it

Explanation

Updated October 26, 2026

OHIP reduced the procedure fee because a consultation or visit was paid with it and the two can't both be paid in full. Check the pairing.

What it means

Code VA means a procedure fee was reduced because a consultation or visit fee is not allowed in addition to it. Some procedures include the assessment in their fee. When both are claimed, OHIP adjusts the payment instead of paying both in full.

The Surgical Preamble says to claim the procedure when one is done, rather than substituting a visit. A visit for a completely unrelated, significant problem in another body system at the same encounter can be claimed as well as a minor procedure (Schedule SP4).

Common causes

A visit billed for the same problem the procedure treated
A procedure whose fee already includes the assessment

How to fix it

Check the fee code's listing in the Schedule for what the procedure fee includes.
If the visit and the procedure were for the same problem, the reduction is expected.
If the visit was for an unrelated, significant problem in another body system, make sure the diagnostic code shows that. If you believe the payment is wrong, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with supporting details.

Don't resubmit if

You disagree with how a claim already on the RA was paid. Use an RAI, not a new claim.

How APEX handles it

APEX reads your error reports and remittance advice from MCEDT and lists claims rejected with this code in its Correction Centre for you to correct and resubmit. See how APEX works · Pricing

Related codes: VC, V3, D3, D4, D5