What is OHIP billing code C050?

C050 is "Special community medicine consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C050 pay?

The current OHIP fee for C050 is $176.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C050 to OHIP?

C050 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C050 claims against the Schedule of Benefits rules before submission.

What codes are related to C050?

Codes related to C050 in the Schedule of Benefits include A050, W050, C400, C055.

All codes

C050

C050 – Special community medicine consultation

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

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Levels of this visit

The C05x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C054 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist in an acute care hospital (non-emergency in-patient) requiring a full, relevant history and physical…
$64.30
C051 Complex medical specific re-assessment
A re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$74.45
C053 Medical specific assessment
A medical specific assessment rendered by a specialist in Community Medicine for a non-emergency hospital in-patient.
$83.85

Consultations

C056 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…
$94.75
C055 Consultation
A consultation rendered to a hospital in-patient by a specialist in Community Medicine (05) following a written request from a referring physician, nurse practitioner, or dental…
$152.80
C050 Special community medicine consultation(this code)
This service is a consultation rendered by a specialist in community medicine who provides all the appropriate elements of a consultation and spends a minimum of 50 minutes in…
$176.10

This service is a consultation rendered by a specialist in community medicine who provides all the appropriate elements of a consultation and spends a minimum of 50 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Written request from a referring physician, nurse practitioner, or dental surgeon must be kept in the consulting physician’s medical record (unless common medical records are maintained in hospital/LTC/multi-specialty clinic).

The request identifies the consultant by name and/or specialty, referring provider by name and billing number, and patient by name and health number.

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

A written report (including findings, opinions, and recommendations) must be provided to the referring physician, nurse practitioner or dental surgeon (and patient's primary care provider if NP referral).

Start and stop times must be recorded in the patient's permanent medical record.

Must satisfy all elements of a consultation as defined in .

Usage limits

Limited to one service per two consecutive 12-month periods for the same diagnosis by the same physician. Only one consultation or assessment is eligible per patient admission.

A050Special community medicine consultation (Office)W050Special community medicine consultation (Long-Term Care)C400Comprehensive community medicine consultation - hospital in-patient C055Consultation - hospital in-patient

Calculation of the 50-minute minimum excludes time for other billable services and non-patient-facing time (e.g., chart review).

Subject to the same conditions as A050.

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