OHIP billing code for general assessment

A full history and exam of all body systems, once per patient per 12 months.

Code	What it is	Fee
A003A	General Assessment with diagnosis other than 917, all ages	$95.60

A003A: General Assessment with diagnosis other than 917, all ages

Family practice general assessment: full history and exam of all body systems. Not payable in the home; one per patient per 12 months.

One per patient per physician per 12 months. A second is allowed for a clearly different, unrelated diagnosis, or if at least 90 days have passed and the second is a hospital admission assessment. Extras are paid at a lesser fee (GP21).
Not payable in the patient's home (A4).
Patients aged 65 or older: paid with a 15% age premium (GP64).
Not on the Appendix J list, so it can't be billed by video or telephone (A68, AJ1, AJ2).
A cervical screening specimen is included when the pelvic exam is part of the assessment (A4).

EH2: The health card version code doesn't match the Ministry's record. Get the current version code and resubmit.
VJ7: OHIP received the claim more than three months after the service date (GP9). If it was first sent on time, use the stale-dated process.
V16: OHIP couldn't accept the diagnostic code, usually because it isn't a plain numeric OHIP code. Use digits only, and check the fee code also suits the patient and the service.
EQE: The physician wasn't registered in the group on the claim on the service date. A registration issue, not a coding one.
VH8: The date of birth doesn't match OHIP's record for the health number. Correct it and resubmit.

A full history and exam of all body systems, once per patient per 12 months.

Updated October 26, 2026.