What is OHIP billing code C665?

C665 is "Prenatal consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C665 pay?

The current OHIP fee for C665 is $105.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C665 to OHIP?

C665 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C665 claims against the Schedule of Benefits rules before submission.

What codes are related to C665?

Codes related to C665 in the Schedule of Benefits include A665.

All codes

C665

C665 – Prenatal consultation

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

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Levels of this visit

The C66x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C661 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition and includes all the…
$86.35

Consultations

C665 Prenatal consultation(this code)
A prenatal consultation is an assessment provided by a paediatrician (specialty 26) to a hospital in-patient following a written request from a referring physician, nurse…
$105.50
C662 Extended special paediatric consultation
An extended special paediatric consultation rendered for a non-emergency hospital in-patient.
$442.40
C667 Neurodevelopmental consultation
A neurodevelopmental consultation rendered to a non-emergency in-patient in an acute care hospital.
$456.80

A prenatal consultation is an assessment provided by a paediatrician (specialty 26) to a hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon. As per , this service requires the consultant to provide their opinion and recommendations in a written report to the referring practitioner. This code is specifically for non-emergency in-patient services as indicated by the 'C' prefix (). The payment for C665 is subject to the same conditions as `A665.

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, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

A written report including findings, opinions, and recommendations must be prepared and sent to the referring practitioner.

A665

Subject to the same conditions as A665.

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