What is OHIP billing code C626?

C626 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C626 pay?

The current OHIP fee for C626 is $105.25, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill C626 to OHIP?

C626 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C626 claims against the Schedule of Benefits rules before submission.

What codes are related to C626?

Codes related to C626 in the Schedule of Benefits include A626, A625, C625, A765, C765.

All codes

C626

C626 – Repeat consultation

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

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Levels of this visit

The C62x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C624 Medical specific re-assessment
C624 is a medical specific re-assessment rendered by a Clinical Immunology specialist (specialty 62) for a non-emergency hospital in-patient.
$72.00
C621 Complex medical specific re-assessment
A complex medical specific re-assessment is a service rendered to a non-emergency hospital in-patient by a Clinical Immunology specialist.
$83.40
C623 Medical specific assessment
A medical specific assessment rendered by a Clinical Immunology specialist (specialty 62) for a non-emergency hospital in-patient.
$95.95

Consultations

C626 Repeat consultation(this code)
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, following care rendered to the patient by another physician in…
$105.25
C625 Consultation
A consultation rendered by a Clinical Immunology (62) specialist for a non-emergency hospital in-patient.
$160.30

A repeat consultation is an additional consultation rendered by the same consultant for 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. As a 'C' prefix code, this service is specifically for non-emergency hospital in-patients (Source: :). A repeat consultation has the same requirements as a full consultation, including a new written request from a referring physician, nurse practitioner, or dental surgeon (Source: :). The service includes all specific elements of an assessment as outlined in :, such as a direct physical encounter, history taking, physical examination, and discussion with the patient. The consultant must prepare a written report for the referring practitioner, and a copy of the referral request must be maintained in the patient's medical record (Source: :). Repeat consultations are an exception to the standard consultation limits outlined in :.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the new written request for the repeat consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record. As this is a hospital service, the written request may be contained on the common medical record. (Source: :)

The written request must identify the consultant by name, the referring practitioner by name and billing number, and the patient by name and health number. (Source: :)

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

The consultant must prepare a written report (including findings, opinions, and recommendations) to the referring practitioner. (Source: :)

A626 A625 C625 A765 C765

For Services not listed, refer to Internal Medicine Section.

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