What is OHIP billing code C046?

C046 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C046 pay?

The current OHIP fee for C046 is $64.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C046 to OHIP?

C046 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C046 claims against the Schedule of Benefits rules before submission.

What codes are related to C046?

Codes related to C046 in the Schedule of Benefits include A046.

All codes

C046

C046 – Repeat 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(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…
$64.85
C045 Consultation
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 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. It has the same requirements as a consultation, including a new written request from the referring physician, nurse practitioner, or dental surgeon. This service is for a non-emergency hospital in-patient and is rendered by a physician with a specialty in Neurosurgery. Consultation Requirements A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon (in connection with an insured dental procedure rendered in a hospital). The request is made because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. The consultation includes all services necessary for the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring provider. The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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 consultant must prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient’s primary care provider, if applicable. Except where otherwise specified, the consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data.

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.

A046

See General Preamble to for rules regarding non-emergency hospital in-patient services.

A repeat consultation is an exception to the limit of one consultation per two consecutive 12 month periods for the same diagnosis.

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