What is OHIP billing code C316?

C316 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C316 pay?

The current OHIP fee for C316 is $106.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C316 to OHIP?

C316 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C316 claims against the Schedule of Benefits rules before submission.

All codes

C316

C316 – Repeat consultation

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

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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(this code)
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
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 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 the interval after the initial consultation. Like all consultations, it requires a new written request from a referring physician, nurse practitioner, or eligible dental surgeon. The C prefix designates this service for non-emergency in-patients in an acute care hospital. The consultant is required to perform an assessment and provide a written report to the referring practitioner. See : for the full definition of a repeat consultation and : for general consultation requirements.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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 (:).

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 must identify the consultant by name, the referring practitioner/nurse practitioner/dental surgeon 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 (:).

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