What is OHIP billing code C036?

C036 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C036 pay?

The current OHIP fee for C036 is $76.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C036 to OHIP?

C036 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C036 claims against the Schedule of Benefits rules before submission.

What codes are related to C036?

Codes related to C036 in the Schedule of Benefits include C035, C935, C033, C034.

All codes

C036

C036 – Repeat consultation

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

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Levels of this visit

The C03x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C034 Specific re-assessment
C034 is a specific re-assessment rendered by a specialist for a non-emergency hospital in-patient.
$36.75
C033 Specific assessment
A specific assessment for a non-emergency hospital in-patient provided by a physician with the specialty designation of General Surgery (03).
$56.40

Consultations

C036 Repeat consultation(this code)
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$76.45
C035 Consultation
A consultation rendered to a hospital in-patient by a specialist in General Surgery following a written request from a referring physician, nurse practitioner, or dental surgeon.
$114.75

A repeat consultation is 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. This specific code (C036) applies to non-emergency hospital in-patients.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

The consultant must prepare a written report (findings, opinions, recommendations) and send it to the referring provider.

A new written request is required for a repeat consultation.

The request must identify 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.

Usage limits

Repeat consultations are not subject to the 'one per 24 months' limit that applies to initial consultations (C035). However, they require a specific clinical interval where another physician has managed the patient.

C035Consultation - non-emergency hospital in-patient C935Special surgical consultation C033Specific assessment C034Specific re-assessment

If the admitting physician has previously assessed the patient for the same presenting illness within 90 days of the admission assessment, the admission assessment constitutes a re-assessment, not a consultation.

For emergency calls or special visits to in-patients, use General Listings and Premiums ( to ) instead of 'C' prefix codes.

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