What is OHIP billing code C355?

C355 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C355 pay?

The current OHIP fee for C355 is $93.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C355 to OHIP?

C355 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C355 claims against the Schedule of Benefits rules before submission.

What codes are related to C355?

Codes related to C355 in the Schedule of Benefits include A355, A935, C935, A356, C356, A353, C353, A354.

All codes

C355

C355 – Consultation

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

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Levels of this visit

The C35x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C354 Specific re-assessment
C354 is a specific re-assessment for a non-emergency, acute care hospital in-patient, as indicated by the 'C' prefix (GP12:26).
$29.35
C353 Specific assessment
C353 is for a specific assessment rendered by a specialist in Urology (35) to a non-emergency hospital in-patient.
$51.45

Consultations

C356 Repeat consultation
A hospital in-patient repeat consultation by a urologist, which is an additional consultation rendered by the same consultant for the same presenting problem.
$64.90
C355 Consultation(this code)
A consultation rendered by a specialist in Urology for a non-emergency hospital in-patient.
$93.15

A consultation rendered by a specialist in Urology for a non-emergency hospital in-patient. This service requires a written request from a referring physician, nurse practitioner, or dental surgeon (for an insured hospital dental procedure) for an opinion on a complex, serious, or obscure case. The service includes a comprehensive assessment, review of relevant data, and a written report of findings, opinions, and recommendations sent back to the referring practitioner. The specific requirements for a consultation, including documentation of the referral, are outlined in of the Schedule. This service is performed in an acute care hospital for a non-emergency in-patient, as indicated by the 'C' prefix ().

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, 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.

A355 A935 C935 A356 C356 A353 C353 A354 C354 C352 C357 C359 C122 C123 C124 C142 C143 C121 C358 C982 C126

This service applies to non-emergency hospital in-patient services. See to for details.

For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums when applicable. See to .

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