What is OHIP billing code C466?

C466 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C466 pay?

The current OHIP fee for C466 is $124.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C466 to OHIP?

C466 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C466 claims against the Schedule of Benefits rules before submission.

What codes are related to C466?

Codes related to C466 in the Schedule of Benefits include A466, C465, A465, C765, A765, C275, A275.

All codes

C466

C466 – Repeat 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(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…
$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
A comprehensive infectious disease consultation rendered to a non-emergency hospital in-patient by a specialist in infectious disease.
$342.25

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. It has the same requirements as a consultation, including the need for a new written request from a referring practitioner. The 'C' prefix indicates the service is rendered to a non-emergency in-patient in an acute care hospital. See for the definition of repeat consultation and for full consultation requirements.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A new written request from the referring physician, nurse practitioner, or dental surgeon is required and must be kept in the patient's medical record. In a hospital with common medical records, the request may be on the common 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 request must outline the relevant information for the referral and specify the service(s) required.

A written report including findings, opinions, and recommendations must be prepared and sent to the referring practitioner.

A466 C465 A465 C765 A765 C275 A275

A repeat consultation is an exception to the limit of one consultation per two consecutive 12-month periods for the same diagnosis.

A new written referral is required for a repeat consultation.

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