What is OHIP billing code C385?

C385 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C385 pay?

The current OHIP fee for C385 is $125.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C385 to OHIP?

C385 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C385 claims against the Schedule of Benefits rules before submission.

What codes are related to C385?

Codes related to C385 in the Schedule of Benefits include A185, C185, C186.

All codes

C385

C385 – Limited consultation

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

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Levels of this visit

The C38x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

C385 Limited consultation(this code)
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation.
$125.50
C384 Consultation and Management for ACVS
C384 is a consultation and management service for Acute Coordinated Vascular Services (ACVS) rendered by a neurologist to a non-emergency hospital in-patient.
$275.95

A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation. Otherwise, a limited consultation has the same requirements as a full consultation. A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon who requests the opinion of a consultant physician because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or patient's representative. A copy of the written request must be kept in the medical record. This service is specifically for a non-emergency in-patient of an acute care hospital, as indicated by the 'C' prefix.

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 contained 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.

A185 C185 C186

See General Preamble to .

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

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