What is OHIP billing code C636?

C636 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C636 pay?

The current OHIP fee for C636 is $84.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C636 to OHIP?

C636 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C636 claims against the Schedule of Benefits rules before submission.

What codes are related to C636?

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

All codes

C636

C636 – Repeat 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(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…
$84.00
C635 Consultation
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 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 full consultation, including a new written request by the referring physician, nurse practitioner, or dental surgeon. This service is rendered by a specialist in Nuclear Medicine for a non-emergency hospital in-patient, as indicated by the 'C' prefix. It includes all the specific elements of an assessment as described on , such as a history and examination, and the preparation of a written report to the referring practitioner. If the requirements for a consultation are not met, the amount payable will be adjusted to a lesser assessment fee.

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.

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.

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

C635 C835 C735

This code applies to services rendered to non-emergency hospital in-patients.

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