What is OHIP billing code C266?

C266 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C266 pay?

The current OHIP fee for C266 is $104.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C266 to OHIP?

C266 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C266 claims against the Schedule of Benefits rules before submission.

What codes are related to C266?

Codes related to C266 in the Schedule of Benefits include C265, C260, C662, C667, C665, C565, C263, C264.

All codes

C266

C266 – Repeat 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(this code)
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
A special paediatric consultation is an assessment rendered in a non-emergency acute care hospital in-patient setting.
$342.25

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 physician in the interval following the initial consultation but preceding the repeat consultation. 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. As a 'C' prefix code, this service is provided to a non-emergency hospital in-patient. The consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data, and prepare a written report with findings, opinions, and recommendations for the referring provider.

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 medical record.

The request must identify the consultant by name, the referring provider 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 provider.

Usage limits

OR([1, "24_months", "per_patient_per_physician", "Standard consultations rendered to the same patient by the same physician for the same diagnosis are limited to one service per two consecutive 12 month periods."], [1, "lifetime", "per_patient_per_physician", "Repeat consultations are not subject to this limit."])

C265 C260 C662 C667 C665 C565 C263 C264 C661

Repeat consultations are not subject to the same frequency limits as initial consultations.

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