OHIP billing code for limited virtual care
A101A by video and A102A by phone, for patients with no existing relationship with the physician.
| Code | What it is | Fee |
|---|---|---|
| A101A | Limited Virtual Care by Video | $20.00 |
| A102A | Limited Virtual Care by Telephone | $15.00 |
A101A: Limited Virtual Care by Video
Limited virtual care by video, for a patient with no existing relationship with the physician (no in-person visit in 24 months, not enrolled).
Billing rules
- Bill limited virtual care only when there is no existing patient-physician relationship. With a relationship, bill the in-person code with K300A or K301A instead (A66, A70).
- The service must include at least a history and a medically appropriate exam, a diagnosis, and a management plan or management (A73).
- Not payable if the service can't be done properly without an in-person exam; then only the in-person service is paid (A67).
- The visit must be initiated by the patient or their representative, or be a medically necessary follow-up. Check-in and administrative calls are not payable (A68).
- The chart must record the modality used (A68).
Common rejections
- 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.
- R04: OHIP's description is 'service excluded from RMBS', the reciprocal billing system for patients insured by another province. The service can't be billed through reciprocal billing for that patient.
- A3H: The claim billed more services of the code than OHIP allows. Reduce the number of services to the allowed limit and resubmit.
A102A: Limited Virtual Care by Telephone
Limited virtual care by phone, for a patient with no existing relationship with the physician (no in-person visit in 24 months, not enrolled).
Billing rules
- Bill limited virtual care only when there is no existing patient-physician relationship. With a relationship, bill the in-person code with K300A or K301A instead (A66, A70).
- The service must include at least a history and a medically appropriate exam, a diagnosis, and a management plan or management (A73).
- Not payable if the service can't be done properly without an in-person exam; then only the in-person service is paid (A67).
- The visit must be initiated by the patient or their representative, or be a medically necessary follow-up. Check-in and administrative calls are not payable (A68).
- The chart must record the modality used (A68).
Common rejections
- EH2: The health card version code doesn't match the Ministry's record. Get the current version code and resubmit.
- R04: OHIP's description is 'service excluded from RMBS', the reciprocal billing system for patients insured by another province. The service can't be billed through reciprocal billing for that patient.
More virtual care codes
- OHIP billing code for comprehensive virtual care
- OHIP billing code for telephone consultation
- OHIP billing code for e-consultation
- OHIP billing code for phone visit
Questions
What is the OHIP billing code for limited virtual care?
A101A by video and A102A by phone, for patients with no existing relationship with the physician.
All OHIP billing codes by service
Updated October 26, 2026.