What is OHIP billing code C726?

C726 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C726 pay?

The current OHIP fee for C726 is $123.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C726 to OHIP?

C726 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C726 claims against the Schedule of Benefits rules before submission.

What codes are related to C726?

Codes related to C726 in the Schedule of Benefits include A726, C725, C720, C925, C723.

All codes

C726

C726 – Repeat consultation

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

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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(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…
$123.10
C725 Consultation
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 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.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A written request from a referring physician, nurse practitioner, or dental surgeon is mandatory.

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

A new written request is required for every repeat consultation.

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.

The consultant is required to perform a general, specific or medical specific assessment, including a review of all relevant data.

Usage limits

Not subject to the 'one per 24 months' limit that applies to initial consultations (A725/C725).

A726Repeat consultation (Office/Out-patient)C725Consultation (Hospital In-patient)C720Comprehensive occupational medicine consultation (Hospital In-patient)C925Limited consultation (Hospital In-patient)C723Medical specific assessment (Hospital In-patient)

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