Resources / Codes by service

OHIP billing code for minor assessment

A brief history and exam of the affected part, or brief advice about a health issue.

CodeWhat it isFee
A001AMinor Assessment$26.80

A001A: Minor Assessment

Family practice minor assessment: a brief history and exam of the affected part, or brief advice or information about a health issue.

Billing rules

  • In the patient's home, travel to and from the home is part of A001, and the Table VI home special visit premiums are not payable with it (A4).
  • A008 mini assessment is only payable when the WSIB part of the same visit was billed as A001 and an unrelated non-WSIB problem was also assessed (A4).
  • Detention (K001) can only start after 30 minutes of a minor assessment (GP30).
  • Can be billed by video or telephone as comprehensive virtual care when an existing patient-physician relationship exists, with K300A or K301A (A70, AJ1).
  • On the day of a Z-code procedure, if the same physician did the major pre-operative visit in the previous 12 months, a minor assessment is the only assessment a family physician can bill before the procedure (SP4).

Common rejections

  • AT3: Billed by video or phone (K300A/K301A), but OHIP found no existing relationship: no in-person service in 24 months and no enrolment to you or your group (A66). Otherwise bill A101/A102.
  • EH2: The health card version code doesn't match the Ministry's record. Get the current version code and resubmit.
  • VH8: The date of birth doesn't match OHIP's record for the health number. Correct it and resubmit.
  • EQE: The physician wasn't registered in the group on the claim on the service date. A registration issue, not a coding one.
  • 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.

The full A001A guide

More assessments and consultations codes

Questions

What is the OHIP billing code for minor assessment?

A brief history and exam of the affected part, or brief advice about a health issue.

All OHIP billing codes by service

Updated October 26, 2026.