What is OHIP billing code C315?

C315 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C315 pay?

The current OHIP fee for C315 is $233.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C315 to OHIP?

C315 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C315 claims against the Schedule of Benefits rules before submission.

What codes are related to C315?

Codes related to C315 in the Schedule of Benefits include C425, C515, C316, C313, C314, C311, A315.

All codes

C315

C315 – Consultation

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

Ask a question

Levels of this visit

The C31x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C314 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist for a non-emergency hospital in-patient.
$75.90
C311 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition and includes all the…
$82.75
C313 Medical specific assessment
A medical specific assessment for a non-emergency hospital in-patient, as indicated by the 'C' prefix.
$86.40

Consultations

C316 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, following care provided to the patient by another physician in…
$106.60
C315 Consultation(this code)
A consultation is an assessment rendered by a specialist in Physical Medicine & Rehabilitation for a non-emergency hospital in-patient, following a written request from a…
$233.65

A consultation is an assessment rendered by a specialist in Physical Medicine & Rehabilitation for a non-emergency hospital in-patient, following a written request from a referring practitioner (physician, nurse practitioner, or dental surgeon for in-hospital dental procedures). The service is requested due to the complexity, seriousness, or obscurity of the case, or because a second opinion is sought. Required Elements: • A written request from the referring practitioner must be retained in the patient's medical record. • The consultant must perform a general, specific, or medical specific assessment, including a review of all relevant data. • The consultant must prepare a written report with findings, opinions, and recommendations for 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, 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 and/or the specialty being consulted, 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 consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

C425 C515 C316 C313 C314 C311 A315

See General Preamble to for rules regarding non-emergency hospital in-patient services.

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

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in