What is OHIP billing code C585?

C585 is "Diagnostic consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C585 pay?

The current OHIP fee for C585 is $106.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C585 to OHIP?

C585 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C585 claims against the Schedule of Benefits rules before submission.

What codes are related to C585?

Codes related to C585 in the Schedule of Benefits include A585.

All codes

C585

C585 – Diagnostic 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(this code)
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
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 diagnostic laboratory medicine consultation for a non-emergency hospital in-patient, subject to the same conditions as A585. The service is rendered when tissue, slides, specimens, and/or laboratory results prepared in one licensed laboratory are referred to a laboratory medicine physician (specialist in Haematopathology, Neuropathology, Medical Biochemistry, Medical Microbiology, Anatomic and General Pathology) not in the same licensed laboratory for a written opinion. The specific elements are the same as for the L800 series of codes (see page to ).

Referral requiredFrom: Physician

A written opinion must be provided.

A585

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