OHIP explanatory code SA

What SA means

The Ministry of Health’s official wording for SA is: “Surgical procedure allowed at consultation fee.”

This code appears as an explanatory code on your monthly Remittance Advice (RA). It means the claim was adjudicated — paid, reduced, or refused — for the reason below. A claim already on your RA generally shouldn't be blindly resubmitted; follow the suggested action.

How to fix SA

This explains a payment adjustment. If you believe the claim was billed correctly, file a Remittance Advice Inquiry within the deadline; otherwise no resubmission is needed.

Payment-time codes appear on the monthly Remittance Advice after adjudication. Some are informational, some explain a reduced or refused payment. Where you disagree with the outcome, the usual route is a Remittance Advice Inquiry or written inquiry — not resubmitting the same claim, which can create a duplicate.

Related codes

• S5Not allowed in addition to major surgical fee
• S6Allowed as subsequent procedure-initial procedure previously claimed
• S7Normal pre-operative and post-operative care included in surgical fee
• S9Initial procedure not found
• SBNormal pre-operative visit included in surgical fee-visit fee previously paid-surgical fee adjusted
• SCNot allowed, major pre-operative visit already claimed
• SDNot allowed, Team/Assist Fee already claimed
• SEMajor pre-operative visit previously paid and admission assessment previously paid-surgery fee reduced by the admission assessment