What is OHIP billing code C236?

C236 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C236 pay?

The current OHIP fee for C236 is $48.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C236 to OHIP?

C236 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C236 claims against the Schedule of Benefits rules before submission.

What codes are related to C236?

Codes related to C236 in the Schedule of Benefits include C235, C935, A236.

All codes

C236

C236 – Repeat 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(this code)
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
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 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 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 practitioner. This service is for non-emergency hospital in-patients, as indicated by the 'C' prefix. All consultations require a direct physical encounter with the patient, including a patient history and physical examination, and the preparation of a written report to the referring practitioner.

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 physician, nurse practitioner or dental surgeon 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 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.

The consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring practitioner.

C235 C935 A236

The limits applicable to all consultations, including time-based and age-specific consultation services, do not apply to repeat consultations.

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