Resources / Codes by service

OHIP billing code for limited virtual care

A101A by video and A102A by phone, for patients with no existing relationship with the physician.

CodeWhat it isFee
A101ALimited Virtual Care by Video$20.00
A102ALimited 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.

The full A101A guide

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.

The full A102A guide

More virtual care codes

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.