What is OHIP billing code C076?

C076 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C076 pay?

The current OHIP fee for C076 is $113.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C076 to OHIP?

C076 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C076 claims against the Schedule of Benefits rules before submission.

What codes are related to C076?

Codes related to C076 in the Schedule of Benefits include C075, C375, C775, A076, W076.

All codes

C076

C076 – Repeat 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(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…
$113.35
C075 Consultation
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 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.

Requires a new written request from a referring physician, nurse practitioner, or dental surgeon (for insured dental procedures in hospital).

The request must identify the consultant, the referring provider (with billing number), and the patient.

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

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

A copy of the written request must be kept in the medical record (or common hospital record).

Usage limits

Not subject to the standard consultation limit of one service per two consecutive 12-month periods (provided the definition of a repeat consultation is met).

C075Geriatrics - Consultation (Initial)C375Geriatrics - Limited consultation C775Geriatrics - Comprehensive geriatric consultation A076Geriatrics - Repeat consultation (Office/Out-patient)W076Geriatrics - Repeat consultation (Long-Term Care)

A repeat consultation is specifically for the same presenting problem when another physician has provided care in the interval since the initial consultation.

If a consultant is referred to the same patient a second time for the same diagnosis but the 'repeat consultation' criteria (interval care by another physician) are not met, the service may be limited by the 1-per-24-month rule unless it occurs between 12-24 months for a hospital in-patient.

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