What is OHIP billing code C460?

C460 is "Comprehensive infectious disease consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C460 pay?

The current OHIP fee for C460 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C460 to OHIP?

C460 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C460 claims against the Schedule of Benefits rules before submission.

What codes are related to C460?

Codes related to C460 in the Schedule of Benefits include A460.

All codes

C460

C460 – Comprehensive infectious disease consultation

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

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Levels of this visit

The C46x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C464 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist for a non-emergency hospital in-patient.
$82.10
C461 Complex medical specific re-assessment
A complex medical specific re-assessment rendered by a specialist in Infectious Disease (46) for a non-emergency hospital in-patient.
$95.05
C463 Medical specific assessment
A medical specific assessment rendered by an Infectious Disease (46) specialist for a non-emergency hospital in-patient.
$107.00

Consultations

C466 Repeat consultation
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…
$124.00
C465 Consultation
A consultation service rendered by a specialist in Infectious Disease (46) for a non-emergency hospital in-patient.
$205.90
C460 Comprehensive infectious disease consultation(this code)
A comprehensive infectious disease consultation rendered to a non-emergency hospital in-patient by a specialist in infectious disease.
$342.25

A comprehensive infectious disease consultation rendered to a non-emergency hospital in-patient by a specialist in infectious disease. This service requires the physician to provide all appropriate elements of a consultation and spend a minimum of seventy-five (75) minutes of direct contact with the patient. This time is exclusive of time spent rendering any other separately billable intervention to the patient. This service must satisfy all the elements of a consultation as defined in the Schedule of Benefits (see ).

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

The start and stop times must be recorded in the patient's permanent medical record.

A copy of the written request for the consultation 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 written 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 report of the consultation findings, opinions, and recommendations must be provided to the referring practitioner.

A460

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