What is OHIP billing code C245?

C245 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C245 pay?

The current OHIP fee for C245 is $92.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C245 to OHIP?

C245 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C245 claims against the Schedule of Benefits rules before submission.

What codes are related to C245?

Codes related to C245 in the Schedule of Benefits include A245, A935, A246, A243, A244, C935, C246, C243.

All codes

C245

C245 – Consultation

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

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Levels of this visit

The C24x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C244 Specific re-assessment
C244 is a specific re-assessment rendered by a physician with the Otolaryngology (24) specialty for a non-emergency hospital in-patient.
$31.00
C243 Specific assessment
C243 is a specific assessment for the specialty of Otolaryngology (specialty 24) rendered to a non-emergency in-patient of an acute care hospital, as indicated by the 'C' prefix…
$44.75

Consultations

C246 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, following care provided by another physician in the interval…
$53.65
C245 Consultation(this code)
A consultation is an assessment rendered to a non-emergency hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon.
$92.70

A consultation is an assessment rendered to a non-emergency hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon. The request is made because of the complexity, seriousness, or obscurity of the case, or because the patient or their representative requests another opinion. The service includes all work necessary for the consultant to prepare a written report with findings, opinions, and recommendations for the referring practitioner. As a 'C' prefix code, this service is specifically for acute care hospital non-emergency in-patient services.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the medical record. For hospital in-patients, 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 information relevant to the referral and specify the service(s) required.

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

Usage limits

OR([1, "24_months", "per_patient_per_physician", "For the same diagnosis. An exception allows a second consultation if rendered for a hospital inpatient or a patient in an Emergency Department, more than 12 months but less than 24 months following the first consultation."], [1, "12_months", "per_patient_per_physician", "For a clearly defined unrelated diagnosis."])

A245 A935 A246 A243 A244 C935 C246 C243 C244 C122 C123 C124

This service applies to non-emergency hospital in-patient services as described in the General Preamble from to .

For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums when applicable (see to ).

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