What is OHIP billing code C075?

C075 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C075 pay?

The current OHIP fee for C075 is $255.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C075 to OHIP?

C075 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C075 claims against the Schedule of Benefits rules before submission.

What codes are related to C075?

Codes related to C075 in the Schedule of Benefits include C775, C770, C375, C076, W075.

All codes

C075

C075 – Consultation

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

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Levels of this visit

The C07x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C074 Medical specific re-assessment
Medical specific re-assessment- subject to the same conditions as A074.
$79.85
C073 Medical specific assessment
A medical specific assessment rendered by a Geriatrics specialist to a hospital in-patient, requiring a full history of the presenting complaint and a detailed examination of the…
$99.05
C071 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition and includes all the…
$103.80

Consultations

C076 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…
$113.35
C075 Consultation(this code)
A consultation rendered to a hospital in-patient by a specialist in Geriatrics (07) following a written request from a referring physician, nurse practitioner, or dental surgeon.
$255.85

A consultation rendered to a hospital in-patient by a specialist in Geriatrics (07) following a written request from a referring physician, nurse practitioner, or dental surgeon. It includes a comprehensive assessment (general, specific, or medical specific) and a written report back to the referrer.

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 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.

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

Usage limits

One service per patient per two consecutive 12-month periods for the same diagnosis by the same physician (with specific exceptions for hospital in-patients between 12-24 months).

C775Comprehensive geriatric consultation C770Extended comprehensive geriatric consultation C375Limited consultation C076Repeat consultation W075Geriatric Consultation - Long-Term Care In-Patient

If consultation requirements are not met, the fee is reduced to a lesser assessment fee

For emergency calls or special visits, use General Listings and Premiums (-)

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