What is OHIP billing code C286?

C286 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C286 pay?

The current OHIP fee for C286 is $108.95, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill C286 to OHIP?

C286 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C286 claims against the Schedule of Benefits rules before submission.

What codes are related to C286?

Codes related to C286 in the Schedule of Benefits include A285, A286, A586, A283, A284, A585, C285, C586.

All codes

C286

C286 – Limited consultation

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

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Levels of this visit

The C28x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C283 Medical specific assessment
A medical specific assessment is a service rendered by a specialist that requires a full history of the presenting complaint and a detailed examination of the affected part(s)…
$82.50

Consultations

C286 Limited consultation(this code)
A limited consultation is an assessment which is less demanding and, in terms of time, normally requires substantially less of the physician's time than a full consultation (C285).
$108.95
C285 Consultation
A consultation is an assessment rendered for a non-emergency hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon (in…
$163.00

A limited consultation is an assessment which is less demanding and, in terms of time, normally requires substantially less of the physician's time than a full consultation (C285). It is rendered to a non-emergency in-patient in an acute care hospital, following a written request from a referring physician, nurse practitioner, or eligible dental surgeon. The service includes all the requirements of a full consultation, such as a written report to the referring practitioner. The request for consultation must be documented in the patient's medical record. See for full consultation requirements. This service is for specialists in Haematopathology, Neuropathology, Medical Biochemistry, Medical Microbiology, Anatomic and General Pathology.

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

A285 A286 A586 A283 A284 A585 C285 C586 C283 C585 C288 C286 C580

The fees for Laboratory Medicine are applicable to specialists in Haematopathology, Neuropathology, Medical Biochemistry, Medical Microbiology, Anatomic and General Pathology.

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