What is OHIP billing code C915?

C915 is "Limited consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C915 pay?

The current OHIP fee for C915 is $122.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C915 to OHIP?

C915 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C915 claims against the Schedule of Benefits rules before submission.

What codes are related to C915?

Codes related to C915 in the Schedule of Benefits include A915, C715, A710, C710, C116, A116.

All codes

C915

C915 – Limited 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(this code)
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
A comprehensive family and general practice consultation rendered to a non-emergency hospital in-patient.
$247.40

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. Otherwise, a limited consultation has the same requirements as a full consultation (see ). The 'C' prefix indicates the service is for a non-emergency hospital in-patient (see ). This service must follow all general rules for consultations, including the requirement for a written request from a referring practitioner.

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.

A915 C715 A710 C710 C116 A116

This service applies to non-emergency hospital in-patient services. See to .

For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .

If the physician rendering the service requests a referring physician, nurse practitioner or dental surgeon to submit a consultation request for that service after the service has been provided, a consultation is not payable. The visit fee appropriate to the service rendered may be claimed.

Where a physician who has been paid for a consultation for the patient for the same diagnosis makes a request for a referral for ongoing management of the patient, the service rendered following the referral is not payable as a consultation, except as outlined in the Virtual Care Services section under definitions, part 3, commentary 3

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