What is OHIP billing code C196?

C196 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C196 pay?

The current OHIP fee for C196 is $120.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C196 to OHIP?

C196 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C196 claims against the Schedule of Benefits rules before submission.

What codes are related to C196?

Codes related to C196 in the Schedule of Benefits include A195, C895.

All codes

C196

C196 – Repeat consultation

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

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Levels of this visit

The C19x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C194 Specific re-assessment
A specific re-assessment is a service rendered by a specialist in Psychiatry for a non-emergency acute care hospital in-patient.
$75.70
C193 Specific assessment
A specific assessment rendered by a psychiatrist for a non-emergency acute care hospital in-patient.
$98.70

Consultations

C196 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…
$120.30
C190 Special psychiatric consultation
A special psychiatric consultation is an assessment rendered to a non-emergency acute care hospital in-patient, following a written request from a referring physician, nurse…
$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. It has the same requirements as a consultation, including a new written request from a referring physician, nurse practitioner, or dental surgeon. As a 'C' prefix code, this service is for non-emergency hospital in-patients. The service includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) 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. 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 consultant must prepare a written report including findings, opinions, and recommendations to the referring physician, nurse practitioner or dental surgeon.

A195 C895

See General Preamble to . For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .

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