Bulletin 260701 — PSA related fee schedule code adjustments: July updates
This bulletin contains updates to claim processing for E832, A/C073, A/C074, A/C071, and A078.
To: All Physicians
Category: Physician Services
Written by: Claims Services Branch, Health Programs and Delivery Division
Date issued: July 13, 2026
Bulletin Number: 260701
Overview
The Ministry of Health and the Ontario Medical Association are implementing permanent adjustments to physician payments effective April 1, 2026, as part of the 2024 Physician Services Agreement (PSA).
These adjustments are being added to the OHIP claims system through staged implementations. The following changes were implemented July 1, 2026, with an effective date of April 1, 2026.
| Fee schedule code | Description of change |
|---|---|
| E832 | Increased to allow 2 services per limb per day. A stale-date exemption is in place for 3 months. |
| A/C073, A/C074, A/C071, and A078 | Assessment of dementia can be billed for patients with no age restriction. A stale-date exemption is in place for 3 months. |
E832 – Excision of fascia for Dupuytrens, additional rays, to R551
Effective April 1, 2026, the Schedule of Benefits allows two E832 services per limb, per day.
If a provider performs a bilateral ‘Excision of fascia for Dupuytrens (palmar fibromatosis), single ray, with or without flaps’ on the same day and also performs ‘excision of fascia for Dupuytrens, additional rays’ on more than one additional ray per limb, where the claim will be 3 or 4 units of E832, the claim should be flagged for manual review.
A stale-date exemption is in place for 3 months for claims submitted before the September 2026 processing cut-off. Please see Medical Claims Electronic Data Transfer (MCEDT) for information about cut-off dates for claims submissions.
Providers who have received the error ‘AM1 – Service Limit Exceeded’ on claims for 2 services of E832 should resubmit the claim for processing.
A/C073, A/C074, A/C071, and A078 – Dementia Assessment
Effective April 1, 2026, fee schedule codes A/C073, A/C074, A/C071, and A078 can be billed for the assessment of dementia with no age restriction. Age restrictions continue to apply when the visit is not for the assessment of dementia (patients must be at least 65 years of age).
A stale-date exemption is in place for 3 months for claims submitted before the September 2026 processing cut-off. Please see Medical Claims Electronic Data Transfer (MCEDT) for information about cut-off dates for claims submissions.
Providers who have received the error ‘A2A – Outside of Age Limit’ on claims for these services should resubmit the claims for processing.
Keywords/Tags
2024 PSA; E832; C073; Schedule of Benefits; Stale-date; Dupuytrens; dementia
Contact information
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