What is OHIP billing code C206?

C206 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C206 pay?

The current OHIP fee for C206 is $71.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C206 to OHIP?

C206 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C206 claims against the Schedule of Benefits rules before submission.

What codes are related to C206?

Codes related to C206 in the Schedule of Benefits include A206, A205, C205.

All codes

C206

C206 – Repeat 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(this code)
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
A consultation service rendered by an Obstetrics and Gynaecology specialist for a non-emergency hospital in-patient.
$134.25

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 the interval following the initial consultation. This service is for non-emergency hospital in-patients and is identified with a 'C' prefix. It requires a new written request from the referring practitioner and must meet all the requirements of a standard consultation, including a written report back to the referring practitioner. The C-prefix indicates this service is for acute care hospital non-emergency in-patient services as outlined in .

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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.

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record. As this is a hospital service, the written request may be contained on the common medical record.

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

The consultant must prepare a written report (including findings, opinions, and recommendations) to the referring practitioner.

A206 A205 C205

The asterisk (*) indicates that there are notes or special payment rules applicable to this service. Refer to the General Preamble and specific notes for details.

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