What is OHIP billing code C912?

C912 is "Comprehensive family and general practice consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C912 pay?

The current OHIP fee for C912 is $247.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C912 to OHIP?

C912 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C912 claims against the Schedule of Benefits rules before submission.

What codes are related to C912?

Codes related to C912 in the Schedule of Benefits include A912, C005, C911, C945, C905, C006, C320, C003.

All codes

C912

C912 – Comprehensive 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
A special family and general practice consultation performed for a non-emergency hospital in-patient.
$164.95
C912 Comprehensive family and general practice consultation(this code)
A comprehensive family and general practice consultation rendered to a non-emergency hospital in-patient.
$247.40

A comprehensive family and general practice consultation rendered to a non-emergency hospital in-patient. This service is subject to the same conditions as A912. As per , a consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon, due to the complexity, seriousness, or obscurity of the case. It requires the consultant to perform an assessment and provide a written report with findings, opinions, and recommendations to the referring practitioner. This specific consultation is intended for cases that are very complex, obscure, or serious.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the medical record. The request must identify the consultant and referring practitioner by name, and the patient by name and health number, and specify the service(s) required (see ).

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

As this service is time-based (subject to the conditions of A912), the start and stop times of the assessment must be recorded in the patient's permanent medical record. In the absence of such information, the service is payable as a lesser assessment.

A912 C005 C911 C945 C905 C006 C320 C003 C004 C813 C815 C933 C777 C771

Subject to the same conditions as A912.

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