OHIP billing code for e-consultation

K738A when you send a secure electronic request for a specialist's opinion.

Code	What it is	Fee
K738A	Referring Physician (E Consultation)	$16.45

K738A: Referring Physician (E Consultation)

E-consultation, referring physician: you send a secure electronic request for a specialist's opinion and keep caring for the patient.

Payable only if the consultant gives an opinion or recommendations within 30 days of the request (A48).
Maximum 1 per patient per day, 6 per patient per 12 months (any physician), and 400 per physician per 12 months (A48).
Payable in addition to a visit or other service you provide to the same patient the same day (A48).
Not payable if the purpose is to transfer care, to arrange a consultation, visit, K-prefix time-based service, procedure or test, or mainly to discuss test results (A48–A49).
Not payable to either physician if the consultant sees the patient for a consultation, assessment, visit or K-prefix time-based service the same day or the next day (A49).

EH2: The health card version code doesn't match OHIP's record; get the current version code and resubmit (EH2 guide).
V21: A diagnostic code is required on the claim and was missing; add the code for the condition the e-consultation was about.
VJ7: The claim reached OHIP more than three months after the service date; resubmit as stale-dated only if it was first sent on time (VJ7 guide; GP9).
A3H: More services than allowed were billed; K738 is limited to one per patient per day (A48; A3H guide).
EH4: The patient's OHIP coverage had ended before the service date; check the health number and the patient's eligibility (EH4 guide).

K738A when you send a secure electronic request for a specialist's opinion.

Updated October 26, 2026.