What is OHIP billing code C235?

C235 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C235 pay?

The current OHIP fee for C235 is $85.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C235 to OHIP?

C235 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C235 claims against the Schedule of Benefits rules before submission.

What codes are related to C235?

Codes related to C235 in the Schedule of Benefits include C935, C236, C231, C930, C233, C234, C250, C232.

All codes

C235

C235 – Consultation

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

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Levels of this visit

The C23x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C234 Specific re-assessment
A specific re-assessment is a service rendered by specialists and requires a full, relevant history and physical examination of one or more systems.
$30.75
C233 Specific assessment
A specific assessment performed by a specialist in Ophthalmology (23) for a non-emergency hospital in-patient.
$60.50

Consultations

C236 Repeat consultation
A repeat consultation is an additional assessment rendered by the same consultant for the same presenting problem, following care rendered to the patient by another physician in…
$48.00
C235 Consultation(this code)
A consultation rendered by a physician with the specialty designation of Ophthalmology (23) for a non-emergency hospital in-patient.
$85.95
C231 Neuro-Ophthalmology Consultation
A neuro-ophthalmology consultation rendered for a non-emergency hospital in-patient, subject to the same conditions as A231.
$155.45

A consultation rendered by a physician with the specialty designation of Ophthalmology (23) for a non-emergency hospital in-patient. As per , a consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon who requests the opinion of a consultant physician because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. It includes the services necessary to prepare a written report to the referring practitioner. The consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data. A copy of the written request must be kept in the patient's medical record.

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 contained on the common medical 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 specify the service(s) required.

C935 C236 C231 C930 C233 C234 C250 C232 C237 C239 C122 C123 C124 C142 C143 C121 C238 C982 C126

See General Preamble to for 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 .

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