What is OHIP billing code C136?

C136 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C136 pay?

The current OHIP fee for C136 is $123.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C136 to OHIP?

C136 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C136 claims against the Schedule of Benefits rules before submission.

What codes are related to C136?

Codes related to C136 in the Schedule of Benefits include A136, W236, C135, C130, C435.

All codes

C136

C136 – Repeat 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(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…
$123.10
C135 Consultation
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 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.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

New written request from a referring physician, nurse practitioner, or dental surgeon

Care must have been rendered by another physician in the interval between the initial and repeat consultation

Written report must be sent to the referring provider

Consultant must perform a general, specific, or medical specific assessment

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.

Usage limits

Not subject to the 1-per-24-month limit applicable to full consultations, provided all repeat consultation criteria are met.

A136Repeat consultation (Out-patient)W236Repeat consultation (Long-term care)C135Consultation (In-patient)C130Comprehensive internal medicine consultation C435Limited consultation

If the requirements for a repeat consultation are not met (e.g., no new referral or no interval care), the service should be billed as a re-assessment (e.g., C134).

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