What is OHIP billing code C616?

C616 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C616 pay?

The current OHIP fee for C616 is $118.05, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C616 to OHIP?

C616 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C616 claims against the Schedule of Benefits rules before submission.

What codes are related to C616?

Codes related to C616 in the Schedule of Benefits include A616, C615, A615.

All codes

C616

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

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 from the referring physician, nurse practitioner, or dental surgeon. The 'C' prefix indicates this service is for non-emergency hospital in-patients. See for the full definition of a repeat consultation and through for rules regarding 'C' prefix services.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A new written request by the referring physician, nurse practitioner or dental surgeon is required.

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. 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 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.

A616 C615 A615

The standard limits on consultation services (e.g., one service per two consecutive 12 month periods for the same diagnosis) do not apply to repeat consultations.

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