What is OHIP billing code C205?

C205 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C205 pay?

The current OHIP fee for C205 is $134.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C205 to OHIP?

C205 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C205 claims against the Schedule of Benefits rules before submission.

What codes are related to C205?

Codes related to C205 in the Schedule of Benefits include A205, C206, C203, C204, C935, C202, C207, C209.

All codes

C205

C205 – Consultation

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

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Levels of this visit

The C20x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C204 Specific re-assessment
A 'C' prefix code for non-emergency acute care hospital in-patient services, as outlined in GP12.
$44.30
C203 Specific assessment
A specific assessment rendered for a non-emergency hospital in-patient by a specialist in Obstetrics and Gynaecology (20).
$62.65

Consultations

C206 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, following care rendered to the patient by another physician in…
$71.45
C205 Consultation(this code)
A consultation service rendered by an Obstetrics and Gynaecology specialist for a non-emergency hospital in-patient.
$134.25

A consultation service rendered by an Obstetrics and Gynaecology specialist for a non-emergency hospital in-patient. As per , this service requires a written request from a referring physician, nurse practitioner, or dental surgeon due to the complexity, seriousness, or obscurity of the case, or at the patient's request for a second opinion. The service includes a full assessment of the patient, a review of relevant data, and the preparation of a written report to the referring practitioner. The 'C' prefix indicates the service is for an acute care hospital non-emergency in-patient (). The collection of cervical cancer screening specimen(s) is included in the fee when a pelvic examination is a normal part of the service ().

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record. In a hospital where common medical records are maintained, the written request may be on the common record.

The request must identify the consultant by name, the referring practitioner by name and billing number, and the patient by name and health number.

The request must set out relevant information and specify the service(s) required.

A written report including findings, opinions, and recommendations must be sent to the referring practitioner.

A205 C206 C203 C204 C935 C202 C207 C209

The collection of cervical cancer screening specimen(s) is included in the consultation, repeat consultation, general or specific assessment (or re-assessment), or routine post-natal visit when pelvic examination is normal part of the foregoing services. However, the add-on codes E430 or E431 can be billed in addition to these services when collection of cervical cancer screening specimen(s) is performed outside of a hospital or IHCSC.

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