What is OHIP billing code C045?

C045 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C045 pay?

The current OHIP fee for C045 is $145.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C045 to OHIP?

C045 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C045 claims against the Schedule of Benefits rules before submission.

What codes are related to C045?

Codes related to C045 in the Schedule of Benefits include A045, W045, C042, C043.

All codes

C045

C045 – Consultation

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

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Levels of this visit

The C04x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C044 Specific re-assessment
A specific re-assessment is an admission assessment rendered for the purpose of admitting a patient to a hospital or long-term care facility when the admitting physician has…
$33.40
C043 Specific assessment
Specific assessment is a service rendered by specialists, in a place other than a patient’s home, and requires a full history of the presenting complaint and detailed examination…
$64.90

Consultations

C046 Repeat consultation
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…
$64.85
C045 Consultation(this code)
A consultation provided to a non-emergency hospital in-patient by a neurosurgeon (Specialty 04) following a written request from a referring physician, nurse practitioner, or…
$145.60

A consultation provided to a non-emergency hospital in-patient by a neurosurgeon (Specialty 04) following a written request from a referring physician, nurse practitioner, or dental surgeon.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Written request from a referring physician, nurse practitioner, or dental surgeon (for hospital dental procedures).

Written report including findings, opinions, and recommendations sent to the referring provider.

Consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

The request must identify the consultant, referring provider, and patient by name and billing/health numbers.

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

Usage limits

Limited to one consultation, general or specific assessment/reassessment per patient admission if the patient is transferred between physicians.

A045Neurosurgery Consultation (Office/Outpatient)W045Neurosurgery Consultation (Long-Term Care)C042Subsequent visit, first five weeks C043Specific assessment (Hospital In-patient)

If the consultant assesses the patient in the ED/OPD and subsequently admits them, the initial consultation (C045) constitutes the admission assessment.

Special visit premiums (-) may apply for non-elective visits initiated by the patient or staff, but are not payable for routine rounds.

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