What is OHIP billing code C006?

C006 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C006 pay?

The current OHIP fee for C006 is $47.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C006 to OHIP?

C006 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C006 claims against the Schedule of Benefits rules before submission.

What codes are related to C006?

Codes related to C006 in the Schedule of Benefits include C005, C905.

All codes

C006

C006 – Repeat consultation

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

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Levels of this visit

The C00x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C004 General re-assessment
A general re-assessment includes all the services listed for a general assessment, with the exception of the patient’s history, which need not include all the details already…
$38.35
C003 General assessment
A general assessment is a service rendered for a hospital in-patient that requires a full history (including history of the presenting complaint, family medical history, past…
$89.65

Consultations

C006 Repeat consultation(this code)
An additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval…
$47.10
C005 Consultation
A consultation rendered by a family or general practitioner for a non-emergency hospital in-patient.
$95.60

An additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval following the initial consultation but preceding the repeat consultation.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A new written request is mandatory.

A written report must be provided to the referring provider.

A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

Usage limits

Exempt from the 'one per 24-month' limit applicable to standard consultations for the same diagnosis.

C005Consultation C905Limited consultation

If the requirements for a repeat consultation are not met (e.g., no new referral or no interim care by another doctor), the fee will be adjusted to a lesser assessment fee.

Listed under Non-Emergency Hospital In-Patient Services.

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