What is OHIP billing code C586?

C586 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C586 pay?

The current OHIP fee for C586 is $110.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C586 to OHIP?

C586 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C586 claims against the Schedule of Benefits rules before submission.

What codes are related to C586?

Codes related to C586 in the Schedule of Benefits include A285, A286, A586, C285, C286, C283, C580, C585.

All codes

C586

C586 – Repeat 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(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…
$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 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 consultation including the requirement for a new written request by the referring physician, nurse practitioner or dental surgeon. This service is for a non-emergency hospital in-patient.

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, 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 written request identifies the consultant by name, 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.

A repeat consultation has the same requirements as a consultation including the requirement for a new written request by the referring physician, nurse practitioner or dental surgeon.

A285 A286 A586 C285 C286 C283 C580 C585 C288

Applicable to specialists in Haematopathology, Neuropathology, Medical Biochemistry, Medical Microbiology, Anatomic and General Pathology.

NON-EMERGENCY HOSPITAL IN-PATIENT SERVICES

See General Preamble to . For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .

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