What is OHIP billing code C605?

C605 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C605 pay?

The current OHIP fee for C605 is $188.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C605 to OHIP?

C605 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C605 claims against the Schedule of Benefits rules before submission.

What codes are related to C605?

Codes related to C605 in the Schedule of Benefits include C765, C600, C675, C606, C603, A605, C604, C601.

All codes

C605

C605 – Consultation

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

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Levels of this visit

The C60x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C604 Medical specific re-assessment
A medical specific re-assessment rendered by a specialist in Cardiology (specialty 60) for a non-emergency acute care hospital in-patient.
$72.65
C601 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition and includes all the…
$84.10
C603 Medical specific assessment
A medical specific assessment rendered by a specialist in Cardiology (60) for a non-emergency hospital in-patient.
$96.70

Consultations

C606 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…
$105.25
C605 Consultation(this code)
A consultation is an assessment rendered in an acute care hospital for a non-emergency in-patient following a written request from a referring physician, nurse practitioner, or…
$188.45
C600 Comprehensive cardiology consultation
A comprehensive cardiology consultation for a non-emergency hospital in-patient, subject to the same conditions as A600.
$342.25

A consultation is an assessment rendered in an acute care hospital for a non-emergency in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon (in connection with an insured dental procedure rendered in a hospital). The referring practitioner, in light of their professional knowledge of the patient, requests the opinion of a physician (the consultant) competent to give advice in the field due to the complexity, seriousness, or obscurity of the case, or because another opinion is requested by the patient or their representative. This service includes all elements necessary to prepare a written report to the referring practitioner, including a review of relevant data and a comprehensive assessment. The 'C' prefix designates this service for non-emergency hospital in-patients. For a Cardiology specialist, this service requires a diagnostic code of 428.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record (or on the common medical record in a hospital, long-term care institution or multi-specialty clinic).

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

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

OHIP diagnostic codes: 428

Age

Patient age 17 years and older

C765 C600 C675 C606 C603 A605 C604 C601 C602 C607 C609 C122 C123 C124 C126 C142 C143 C121 C608 C982

See General Preamble 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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