What is OHIP billing code C275?

C275 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C275 pay?

The current OHIP fee for C275 is $119.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C275 to OHIP?

C275 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C275 claims against the Schedule of Benefits rules before submission.

What codes are related to C275?

Codes related to C275 in the Schedule of Benefits include A275, A465, A765, C465, C765.

All codes

C275

C275 – Limited consultation

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

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Levels of this visit

The C27x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C270 Complex infectious disease assessment
An assessment for the ongoing management of specific complex infectious diseases requiring the continuing management by an infectious disease specialist, where the visit requires…
$95.05

Consultations

C275 Limited consultation(this code)
A limited consultation for a non-emergency hospital in-patient, as defined in the Schedule of Benefits (GP19:33).
$119.30

A limited consultation for a non-emergency hospital in-patient, as defined in the Schedule of Benefits (). This service involves an assessment that is less demanding and requires substantially less physician time than a full consultation, but must otherwise meet all requirements for a consultation. A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon, requiring the specialist's opinion due to the complexity, seriousness, or obscurity of the case (). The service includes reviewing relevant data and providing a written report to the referring practitioner. As a 'C' prefix code, this service is specifically for in-patients in an acute care hospital ().

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, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name, the referring physician, nurse practitioner or dental surgeon 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.

A written report including findings, opinions, and recommendations must be provided to the referring physician, nurse practitioner or dental surgeon. Where the referral is made by a nurse practitioner, the consultant shall provide the report to the nurse practitioner and the patient's primary care provider, if applicable.

A275 A465 A765 C465 C765

For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable.

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