OHIP billing code for phone visit

Updated October 26, 2026

For a patient you already have a relationship with, bill the usual visit code (for example A007A) with the telephone indicator K301A; OHIP pays 85% of the in-person fee (95% for K005, K007, K197 and K198). For a patient with no relationship, bill A102A, limited virtual care by telephone, $15.00.

Code	What it is	Fee	When to bill it
K301A	Telephone modality indicator	$0.00	On every comprehensive virtual care claim done by phone, beside the visit code. It has no fee of its own.
A007A	Intermediate assessment	$44.55	The most common phone visit for an existing patient. Paid at 85% by phone.
A001A	Minor assessment	$26.80	A brief phone visit about one problem with an existing patient. Paid at 85% by phone.
K005A	Primary mental health care, per unit	$80.00	Mental health care by phone, 20 minutes or more per unit. Paid at 95% by phone.
A102A	Limited virtual care by telephone	$15.00	A phone visit with a patient who has no existing relationship with you.

How to bill it

First check the relationship. Comprehensive virtual care needs an existing patient-physician relationship: an in-person insured service by you in the past 24 months, or the patient is enrolled to you or another physician in your group (A66).

With a relationship, bill the in-person code at its full value and add K301A on the same claim. OHIP reduces the payment to 85%, or 95% for K005, K007, K197 and K198, and shows explanatory code B2 on the remittance advice (A70). Only codes on the Appendix J 'video or telephone' list can be billed by phone (AJ1).

Without a relationship, bill A102A ($15.00). It must include a history, a medically appropriate exam, a diagnosis and a management plan (A73). Limited virtual care doesn't create a relationship.

Chart that the visit was by telephone, and record start and stop times for time-based codes. Only time spent talking directly with the patient counts (A68, A69).

Billing rules

The visit must be patient-initiated, or a medically necessary follow-up to a patient-initiated visit. Check-in calls, administrative calls and calls to give routine normal results are not payable (A68).
Not payable if the problem can't be managed properly without an in-person exam; then only the in-person service is paid (A67).
General assessments (A003, A004) and all consultations are not on the telephone list, so they can't be billed by phone. Consultations and C- and W-prefix codes are video only (AJ1, AJ2).
The patient and physician must both be in Ontario (A69).
If the call switches to video, bill the modality used for more than half of the visit (A69).
You or your group must offer an in-person visit in a clinically appropriate time if one is needed or requested (A69).
FHO: Q012A after-hours premium can go on comprehensive virtual services for enrolled patients (AQ11). Under FHO+, phone care to enrolled patients counts as direct patient care for the Q310A hourly rate when you are in the office, or Q311A ($68 an hour) when you are not (Agreement p.61 §6.1).

Common rejections

AT3: Billed as comprehensive virtual care (K300A or K301A), but OHIP found no existing patient-physician relationship: no in-person insured service with you in the past 24 months and no enrolment to you or your group (A66). Otherwise bill limited virtual care, A101A or A102A.
AT1: OHIP's description is 'only one modality allowed'. Put either K300A or K301A on the claim, not both.

Questions

What is the OHIP billing code for phone visit?

Is a phone visit paid the same as an in-person visit?

No. A comprehensive phone visit pays 85% of the in-person fee, or 95% for K005, K007, K197 and K198. Video pays 100%. Bill the full in-person value; OHIP applies the reduction (A70).

Can I bill a phone call to give test results?

Not when the results are routine and normal. A physician check-in call or a call to give routine normal results isn't payable as virtual care (A68).

What do I bill for a phone visit with a new patient?

If the patient isn't enrolled to you or your group and you haven't seen them in person in the past 24 months, bill A102A, limited virtual care by telephone, $15.00 (A73).

Sources

All OHIP billing codes by service · See how APEX works · Pricing