What is OHIP billing code C580?

C580 is "Comprehensive laboratory medicine consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C580 pay?

The current OHIP fee for C580 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C580 to OHIP?

C580 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C580 claims against the Schedule of Benefits rules before submission.

What codes are related to C580?

Codes related to C580 in the Schedule of Benefits include A580, C585, C285, C283.

All codes

C580

C580 – Comprehensive laboratory medicine consultation

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

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Levels of this visit

The C58x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

C585 Diagnostic consultation
A diagnostic laboratory medicine consultation for a non-emergency hospital in-patient, subject to the same conditions as A585.
$106.50
C586 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…
$110.00
C580 Comprehensive laboratory medicine consultation(this code)
A consultation rendered by a specialist in laboratory medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact…
$342.25

A consultation rendered by a specialist in laboratory medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

Must satisfy all the elements of a consultation as defined in the General Preamble ().

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, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

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

Minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.

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

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

Usage limits

Limited to one consultation or admission assessment per patient admission ().

A580Comprehensive laboratory medicine consultation (Out-patient/Office)C585Diagnostic consultation C285Laboratory Medicine Consultation (Standard)C283Medical specific assessment

Subject to the same conditions as A580.

Unless otherwise specified in the Schedule, the calculation of time for comprehensive laboratory medicine consultations excludes (1) time devoted to any other service or procedure for which an amount is payable in addition to the consultation and (2) non-patient-facing time such as such as time spent reviewing charts, imaging, or documentation, etc.

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