What is OHIP billing code C176?

C176 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C176 pay?

The current OHIP fee for C176 is $66.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C176 to OHIP?

C176 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C176 claims against the Schedule of Benefits rules before submission.

All codes

C176

C176 – Repeat consultation

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

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Levels of this visit

The C17x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C174 Specific re-assessment
A specific re-assessment rendered by a vascular surgery specialist for a non-emergency hospital in-patient.
$28.80
C173 Specific assessment
A specific assessment rendered by a specialist for a non-emergency hospital in-patient.
$49.30

Consultations

C176 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…
$66.60
C175 Consultation
A consultation is an assessment provided by a specialist (Vascular Surgery) for a non-emergency hospital in-patient, following a written request from a referring practitioner.
$125.15

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, as per . A repeat consultation has the same requirements as a consultation including the requirement for a new written request by the referring physician, nurse practitioner or dental surgeon. This service is for a non-emergency hospital in-patient and is rendered by a specialist in Vascular Surgery (17).

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. In a hospital where common medical records are maintained, the written request may be contained on the common medical record.

The request identifies the consultant by name, 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.

The 'C' prefix indicates a non-emergency hospital in-patient service.

A repeat consultation is an exception to the limit of one consultation per two consecutive 12-month periods for the same diagnosis.

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