What is OHIP billing code C446?

C446 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C446 pay?

The current OHIP fee for C446 is $115.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C446 to OHIP?

C446 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C446 claims against the Schedule of Benefits rules before submission.

What codes are related to C446?

Codes related to C446 in the Schedule of Benefits include A446, A445, C445, A441, A443, A444, A448, A845.

All codes

C446

C446 – Repeat consultation

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

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Levels of this visit

The C44x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C444 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist and requires a full, relevant history and physical examination of one or more systems.
$72.00
C441 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient by a Medical Oncology specialist because of the complexity, obscurity, or seriousness of the patient's…
$83.40
C443 Medical specific assessment
A medical specific assessment for a non-emergency hospital in-patient, rendered by a specialist in Medical Oncology.
$95.95

Consultations

C446 Repeat consultation(this code)
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$115.95
C445 Consultation
A consultation is an assessment rendered by a specialist in Medical Oncology for a non-emergency hospital in-patient, following a written request from a referring physician, nurse…
$183.40

A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another physician in the interval following the initial consultation but preceding the repeat consultation. This service has the same requirements as a consultation, including the need for a new written request from the referring practitioner. As per , a consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon. It requires the consultant to prepare a written report with findings, opinions, and recommendations for the referring practitioner. The request must be documented in the patient's medical record.

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 identifies the consultant by name, the referring practitioner by name and billing number, and the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

A446 A445 C445 A441 A443 A444 A448 A845 C441 C443 C444 C845

Services are for non-emergency hospital in-patients. See to .

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

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