What is OHIP billing code C725?

C725 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C725 pay?

The current OHIP fee for C725 is $192.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C725 to OHIP?

C725 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C725 claims against the Schedule of Benefits rules before submission.

What codes are related to C725?

Codes related to C725 in the Schedule of Benefits include A725, C720, C925, C726, W725.

All codes

C725

C725 – Consultation

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

Ask a question

Levels of this visit

The C72x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C724 Medical specific re-assessment
Medical specific re-assessment (Occupational Medicine)
$72.00
C721 Complex medical specific re-assessment
A re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$83.40
C723 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in Occupational Medicine to a hospital in-patient.
$95.95

Consultations

C726 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…
$123.10
C725 Consultation(this code)
A consultation rendered to a hospital in-patient by a specialist in occupational medicine following a written request from a referring physician, nurse practitioner, or dental…
$192.85
C720 Comprehensive occupational medicine consultation
A consultation rendered by a specialist in occupational medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact…
$342.25

A consultation rendered to a hospital in-patient by a specialist in occupational medicine following a written request from a referring physician, nurse practitioner, or dental surgeon. The service includes the necessary assessment and a written report to the referring provider.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A written request from a referring physician, nurse practitioner, or dental surgeon (for hospital-based dental procedures) is mandatory.

The consultant must provide a written report (findings, opinions, and recommendations) to the referring provider.

The request must identify the consultant, the referring provider (name and billing number), and the patient (name and health number).

The request must be kept in the patient's medical record (or common hospital record).

The consultant must perform a general, specific, or medical specific assessment.

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

Usage limits

Limited to one service per patient per physician per two consecutive 12-month periods for the same diagnosis. A second consultation is permitted if rendered for a hospital in-patient or ED patient between 12 and 24 months after the first. For a clearly defined unrelated diagnosis, the limit is one every 12 months.

A725Occupational medicine consultation (Out-patient)C720Comprehensive occupational medicine consultation C925Limited consultation C726Repeat consultation W725Occupational medicine consultation (Long-term care)

If the physician has previously assessed the patient for the same illness within 90 days of admission, the admission assessment may be adjusted to a re-assessment fee.

Consultations requested by Medical Trainees are adjusted to a lesser assessment fee.

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in