1What Is the A914 OHIP Code?
A914 is an OHIP billing code for comprehensive consultations conducted via video by a GP focused practice physician. This service is specifically designed for virtual consultations where a referring physician seeks specialized expertise in areas such as addiction medicine, chronic pain, care of the elderly, or sports medicine.
The code applies solely to video encounters, as telephone consultations are not eligible. It is common for this code to be missed due to the strict eligibility criteria that require the physician to be designated by the bi-lateral MOH-OMA GP Focused Practice Review Committee or to be eligible for the focused practice psychotherapy premium.
2Related Codes
| Code | Name | Frequency | Description |
|---|---|---|---|
| A006 | Repeat consultation | As needed | Used for follow-up consultations. |
| A010 | GP focused practice consultation by Video | As needed | For less comprehensive video consultations in focused practice settings. |
| A011 | GP focused practice repeat consultation by Video | As needed | Used for follow-up consultations via video in focused practice. |
| A320 | Special Medical Assistance in Dying (MAID) consultation | As needed | Consultation related to MAID services. |
3Eligibility Requirements
Eligibility for A914 requires that the service is rendered via video only, not by telephone. Only GP focused practice physicians who are either designated by the bi-lateral MOH-OMA GP Focused Practice Review Committee or eligible for the focused practice psychotherapy premium may bill this code.
The billing frequency is restricted to once per two consecutive 12-month periods per patient for the same diagnosis, unless exceptions apply—such as inpatient or Emergency Department consultations more than 12 but less than 24 months after the first service. In unrelated diagnoses, it can be billed once every 12 months.
4What Your Clinical Note Must Show
Verify designation by the bi-lateral MOH-OMA GP Focused Practice Review Committee or eligibility for the focused practice psychotherapy premium.
- Proof of designation
- Eligibility documentation
The consultation must be conducted via video. Verify technical compliance.
- Video platform verification
- Patient consent for video consultation
Maintain comprehensive records of the consultation details.
- Date and time of consultation
- Diagnosis discussed
- Patient's medical history and current symptoms
5Weak vs. Strong Note Examples
The strong note succeeds by providing specific details about the consultation content, patient history, and the clinical decision-making process, whereas the weak note lacks specifics and context.
Video consultation conducted. Patient advice given.
Comprehensive video consultation conducted with John Doe. Discussed patient's chronic pain management plan, current medication adherence, and options for lifestyle modifications.
Specialist referral considered but not necessary at this time.
- New guidelines for pain management introduced
- Patient response noted positively
