What is OHIP billing code C260?

C260 is "Special paediatric consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C260 pay?

The current OHIP fee for C260 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C260 to OHIP?

C260 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C260 claims against the Schedule of Benefits rules before submission.

What codes are related to C260?

Codes related to C260 in the Schedule of Benefits include A260, C265, C662, C667, C665, C565, C266, C263.

All codes

C260

C260 – Special paediatric consultation

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

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Levels of this visit

The C26x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C264 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a Paediatrics specialist (26) for a non-emergency hospital in-patient.
$70.75
C263 Medical specific assessment
A medical specific assessment is a service rendered by a specialist to a non-emergency hospital in-patient.
$95.75

Consultations

C266 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$104.70
C265 Consultation
A consultation is an assessment rendered to a hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon.
$190.35
C260 Special paediatric consultation(this code)
A special paediatric consultation is an assessment rendered in a non-emergency acute care hospital in-patient setting.
$342.25

A special paediatric consultation is an assessment rendered in a non-emergency acute care hospital in-patient setting. It is provided following a written request from a referring physician, nurse practitioner, or other qualified practitioner for the opinion of a paediatric specialist due to the complexity, seriousness, or obscurity of the case. This service is subject to the same conditions as A260, which typically implies a minimum time requirement dedicated exclusively to the patient consultation. The service includes all the constituent elements of a consultation as defined in the Schedule of Benefits, including a comprehensive history, examination, review of data, and a written report to the referring practitioner.

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 contained on the common medical record.

The request identifies the consultant by name, the referring practitioner by name and billing number, and identifies the patient by name and health number.

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

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

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

A260 C265 C662 C667 C665 C565 C266 C263 C264 C661

Subject to the same conditions as A260.

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