What is OHIP billing code C635?

C635 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C635 pay?

The current OHIP fee for C635 is $188.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C635 to OHIP?

C635 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C635 claims against the Schedule of Benefits rules before submission.

What codes are related to C635?

Codes related to C635 in the Schedule of Benefits include A632, C835, C735, C636, A835, A735.

All codes

C635

C635 – Consultation

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

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Levels of this visit

The C63x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

C636 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…
$84.00
C635 Consultation(this code)
A consultation for a non-emergency hospital in-patient rendered following a written request from a referring physician, nurse practitioner, or dental surgeon.
$188.40

A consultation for a non-emergency hospital in-patient rendered following a written request from a referring physician, nurse practitioner, or dental surgeon. The consultant physician provides an expert opinion due to the complexity, seriousness, or obscurity of the case, or because a second opinion is requested. This service includes a general, specific, or medical specific assessment, a review of all relevant data, and the preparation of a written report to the referring practitioner. The 'C' prefix indicates the service is for an acute care hospital non-emergency in-patient, as defined in .

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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.

The consultant is required to prepare a written report (including findings, opinions, and recommendations) to the referring practitioner.

A632 C835 C735 C636 A835 A735

Physician in hospital but not on duty in the Emergency Department when seeing patients in the Emergency or OPD - use General Listings.

For non-emergency hospital in-patient services, see General Preamble to . 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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