What is OHIP billing code C486?

C486 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C486 pay?

The current OHIP fee for C486 is $124.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C486 to OHIP?

C486 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C486 claims against the Schedule of Benefits rules before submission.

What codes are related to C486?

Codes related to C486 in the Schedule of Benefits include A486, C485, C595, C483, C484, C590, C481, C480.

All codes

C486

C486 – Repeat consultation

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

Ask a question

Levels of this visit

The C48x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C484 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist to a non-emergency hospital in-patient.
$72.00
C481 Complex medical specific re-assessment
A complex medical specific re-assessment rendered by a Rheumatologist for a non-emergency hospital in-patient.
$83.40
C483 Medical specific assessment
A medical specific assessment is a service rendered by a specialist for a non-emergency hospital in-patient.
$95.95
C480 Complex rheumatology assessment
A complex rheumatology assessment rendered to a non-emergency hospital in-patient by a specialist in Rheumatology.
$112.00

Consultations

C486 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…
$124.50
C485 Consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon in connection with an insured dental…
$201.95

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. A repeat consultation has the same requirements as a full consultation, including a new written request from a referring practitioner, a comprehensive assessment, and a written report of findings and recommendations to the referring source.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A new written request from the referring practitioner must be maintained in the patient's medical record.

The request must identify the consultant, the referring practitioner by name and billing number, and the patient by name and health number.

The request must set out relevant clinical information and specify the service(s) required.

The consultant must prepare a written report including findings, opinions, and recommendations for the referring practitioner.

A486 C485 C595 C483 C484 C590 C481 C480

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