What is OHIP billing code C135?

C135 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C135 pay?

The current OHIP fee for C135 is $192.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C135 to OHIP?

C135 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C135 claims against the Schedule of Benefits rules before submission.

What codes are related to C135?

Codes related to C135 in the Schedule of Benefits include A135, C130, C435, C136, C132.

All codes

C135

C135 – Consultation

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

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Levels of this visit

The C13x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C134 Medical specific re-assessment
A medical specific re-assessment is an admission assessment rendered by an Internal Medicine specialist for the purpose of admitting a patient to an acute care hospital, when the…
$72.00
C131 Complex medical specific re-assessment
A re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$83.40
C133 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in Internal Medicine in a hospital in-patient setting (non-emergency).
$95.95

Consultations

C136 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…
$123.10
C135 Consultation(this code)
A consultation rendered by a specialist in Internal Medicine (13) to a hospital in-patient in a non-emergency setting.
$192.85
C130 Comprehensive internal medicine consultation
A consultation rendered by a specialist in internal medicine who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes of…
$342.25

A consultation rendered by a specialist in Internal Medicine (13) to a hospital in-patient in a non-emergency setting. This service includes the necessary assessment and a written report to the referring physician, nurse practitioner, or dental surgeon.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Written request from a referring physician, nurse practitioner, or dental surgeon.

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

The request must identify the consultant, the referrer, and the patient.

A copy of the request must be maintained in the medical record.

Usage limits

One per 24 months per patient for the same diagnosis by the same consultant (with specific exceptions for hospital/ED settings after 12 months). One per 12 months for a clearly defined unrelated diagnosis.

A135Consultation (Office or Special Visit)C130Comprehensive internal medicine consultation C435Limited consultation C136Repeat consultation C132Subsequent visit, first five weeks

C135 is the standard consultation code for Internal Medicine in-patients.

If the consultation is less demanding and requires substantially less time, consider Limited Consultation (C435).

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