What is OHIP billing code C475?

C475 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C475 pay?

The current OHIP fee for C475 is $185.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C475 to OHIP?

C475 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C475 claims against the Schedule of Benefits rules before submission.

What codes are related to C475?

Codes related to C475 in the Schedule of Benefits include C765, C470, C575, C476, C473, C474, C471, C570.

All codes

C475

C475 – Consultation

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

Ask a question

Levels of this visit

The C47x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C474 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist for a hospital in-patient.
$72.80
C471 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition and includes all the…
$86.40
C473 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in a hospital in-patient setting.
$99.15

Consultations

C476 Repeat consultation
C476 is a repeat consultation provided by a specialist in Respiratory Disease (47).
$115.30
C475 Consultation(this code)
A consultation is an assessment rendered to a non-emergency hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon.
$185.80
C470 Comprehensive respiratory disease consultation
A comprehensive respiratory disease consultation for a patient in a non-emergency hospital in-patient setting.
$342.25

A consultation is an assessment rendered to a non-emergency hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon. This service is for cases where the referring practitioner seeks an expert opinion from a Respiratory Disease specialist due to the complexity, seriousness, or obscurity of the case, or at the patient's request. It requires a full assessment of the patient's condition, including a review of all relevant data, and concludes with a written report of findings, opinions, and recommendations sent back to the referring practitioner. Per (PDF page ), 'C' prefix codes are designated for acute care hospital non-emergency in-patient services.

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 or 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 specifies the service(s) required.

A written report including findings, opinions, and recommendations must be sent to the referring physician, nurse practitioner or dental surgeon.

C765 C470 C575 C476 C473 C474 C471 C570 C472 C477 C479 C122 C123 C124 C142 C143 C121 C478 C982

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in