What is OHIP billing code C220?

C220 is "Special genetic consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C220 pay?

The current OHIP fee for C220 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C220 to OHIP?

C220 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C220 claims against the Schedule of Benefits rules before submission.

What codes are related to C220?

Codes related to C220 in the Schedule of Benefits include A220, C225, C223, C325, C226, C800, C801, C802.

All codes

C220

C220 – Special genetic consultation

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

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Levels of this visit

The C22x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

C226 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…
$119.40
C225 Consultation
A consultation rendered by a specialist in Genetics (specialty 22) for a non-emergency acute care hospital in-patient.
$190.50
C220 Special genetic consultation(this code)
A special genetic consultation provided for a non-emergency hospital in-patient.
$342.25
C223 Extended special genetic consultation
An extended special genetic consultation for a non-emergency hospital in-patient.
$442.40

A special genetic consultation provided for a non-emergency hospital in-patient. The 'C' prefix designates this service for acute care hospital non-emergency in-patient settings, as outlined in and . This service is subject to the same conditions as A220. As a consultation, it requires a written request from a referring physician, nurse practitioner, or dental surgeon in connection with an insured dental procedure in a hospital (). A copy of the written request must be maintained in the patient's medical record.

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 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 written request must set out the information relevant to the referral and specifies the service(s) required.

The service is eligible for payment only if start and stop times of the service are recorded in the patient's permanent medical record.

A220 C225 C223 C325 C226 C800 C801 C802

*A consultation is payable at nil if a genetic assessment (K016) or genetic care (K222) has previously been claimed by the same physician.

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