What is OHIP billing code C186?

C186 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C186 pay?

The current OHIP fee for C186 is $125.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C186 to OHIP?

C186 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C186 claims against the Schedule of Benefits rules before submission.

What codes are related to C186?

Codes related to C186 in the Schedule of Benefits include A186, C185, C385.

All codes

C186

C186 – Repeat consultation

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

Ask a question

Levels of this visit

The C18x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C184 Medical specific re-assessment
A medical specific re-assessment rendered by a neurologist for a non-emergency hospital in-patient.
$64.95
C181 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…
$75.20
C183 Medical specific assessment
A medical specific assessment rendered by a specialist in Neurology (18) to a non-emergency in-patient in an acute care hospital.
$82.40

Consultations

C186 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…
$125.50
C185 Consultation
A consultation rendered by a neurologist for a non-emergency hospital in-patient.
$225.55
C180 Special neurology consultation
C180 is a special neurology consultation for a non-emergency hospital in-patient.
$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. 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. As a 'C' prefix code, this service is for non-emergency in-patient services in an acute care hospital. As per , a consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon in connection with an insured dental procedure rendered in a hospital. The consultant physician provides an opinion because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. A written report of findings, opinions, and recommendations must be sent to the referring practitioner.

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, 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.

A written report including findings, opinions, and recommendations must be prepared and sent to the referring physician, nurse practitioner or dental surgeon.

A186 C185 C385

See General Preamble to for rules regarding non-emergency hospital in-patient services.

For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums when applicable - see General Preamble to .

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in