What is OHIP billing code C935?

C935 is "Special surgical consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C935 pay?

The current OHIP fee for C935 is $194.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C935 to OHIP?

C935 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C935 claims against the Schedule of Benefits rules before submission.

What codes are related to C935?

Codes related to C935 in the Schedule of Benefits include A935.

All codes

C935

C935 – Special surgical consultation

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

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Levels of this visit

The C93x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

C930 Uveitis and ocular inflammatory diseases consultation
A consultation rendered by an ophthalmologist for a hospital in-patient regarding uveitis and ocular inflammatory diseases.
$157.00
C935 Special surgical consultation(this code)
A special surgical consultation is rendered when a surgeon provides all the appropriate elements of a regular consultation and is required to devote at least fifty minutes…
$194.65

A special surgical consultation is rendered when a surgeon provides all the appropriate elements of a regular consultation and is required to devote at least fifty minutes exclusively to the consultation with the patient. This code is used for non-emergency hospital in-patient services. The calculation of the 50-minute minimum excludes time devoted to any other service or procedure for which an amount is payable in addition to the consultation. See .

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. In a hospital or other facility with a common medical record, the written request may be contained on the common record.

The written request must identify the consultant by name, the referring physician/practitioner by name and billing number, and the patient by name and health number.

The written request must set out the information relevant to the referral and specify the service(s) required.

The consultant is required to prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner, or dental surgeon.

As a time-based service, the physician must record on the patient's permanent medical record or chart the time when the insured service started and ended.

A935

The calculation of the 50 minute minimum excludes time devoted to any other service or procedure for which an amount is payable in addition to the consultation.

Claims for special surgical consultations are to be submitted using either A935 or C935, as applicable.

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