What is OHIP billing code C615?

C615 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C615 pay?

The current OHIP fee for C615 is $192.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C615 to OHIP?

C615 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C615 claims against the Schedule of Benefits rules before submission.

What codes are related to C615?

Codes related to C615 in the Schedule of Benefits include A615, C765, A765, C655, A655, C616, A616, C613.

All codes

C615

C615 – Consultation

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

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Levels of this visit

The C61x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C614 Medical specific re-assessment
A medical specific re-assessment rendered by a specialist in Haematology (61) to a patient in an acute care hospital as a non-emergency in-patient service.
$72.00
C611 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient by a specialist because of the complexity, obscurity, or seriousness of the patient's condition.
$83.40
C613 Medical specific assessment
A medical specific assessment rendered by a specialist for a non-emergency hospital in-patient.
$95.95

Consultations

C616 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…
$118.05
C615 Consultation(this code)
This service is a consultation for a non-emergency acute care hospital in-patient (GP12, A117).
$192.90

This service is a consultation for a non-emergency acute care hospital in-patient (, ). A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon for their opinion on a complex, serious, or obscure case (). The service includes a full history of the presenting complaint, a detailed examination of relevant parts or systems to establish a diagnosis, and providing a written report with findings and recommendations to the referring practitioner. It also includes all common elements of insured services (, ) and specific elements of assessments ().

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician's medical record. In a hospital where common medical records are maintained, the written request may be contained on the common medical record ().

The request must identify the consultant by name, the referring physician, nurse practitioner or dental surgeon 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 ().

The consultant must prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon ().

A615 C765 A765 C655 A655 C616 A616 C613 A613

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