What is OHIP billing code C911?

C911 is "Special family and general practice consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C911 pay?

The current OHIP fee for C911 is $164.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C911 to OHIP?

C911 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C911 claims against the Schedule of Benefits rules before submission.

What codes are related to C911?

Codes related to C911 in the Schedule of Benefits include A911, C813, A813, C912, C005.

All codes

C911

C911 – Special family and general practice consultation

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

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Levels of this visit

The C91x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

C915 Limited consultation
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation.
$122.00
C911 Special family and general practice consultation(this code)
A special family and general practice consultation performed for a non-emergency hospital in-patient.
$164.95
C912 Comprehensive family and general practice consultation
A comprehensive family and general practice consultation rendered to a non-emergency hospital in-patient.
$247.40

A special family and general practice consultation performed for a non-emergency hospital in-patient. This service is subject to the same conditions as A911, which is a consultation rendered by a GP/FP physician who provides all the elements of a consultation and spends a minimum of 50 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation 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 start and stop times of the assessment must be recorded on the patient’s permanent medical record or the amount payable for the service will be adjusted to a lesser paying fee.

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.

A911 C813 A813 C912 C005

Subject to the same conditions as A911.

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