What is OHIP billing code C595?

C595 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C595 pay?

The current OHIP fee for C595 is $124.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C595 to OHIP?

C595 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C595 claims against the Schedule of Benefits rules before submission.

What codes are related to C595?

Codes related to C595 in the Schedule of Benefits include A595, C485, C765, C590, C486.

All codes

C595

C595 – Limited consultation

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

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Levels of this visit

The C59x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

C595 Limited consultation(this code)
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation.
$124.50
C590 Comprehensive rheumatology consultation
A comprehensive rheumatology consultation for a non-emergency hospital in-patient, as designated by the 'C' prefix (see GP12).
$342.25

A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation. Otherwise, a limited consultation has the same requirements as a full consultation. 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 (in connection with an insured dental procedure in a hospital). The consultant physician provides an opinion because of the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient. The service includes a review of all relevant data and the preparation of a written report with findings, opinions, and recommendations for the referring practitioner.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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.

A595 C485 C765 C590 C486

See to for rules on Non-Emergency Hospital In-Patient Services.

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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