What is OHIP billing code W035?

W035 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W035 pay?

The current OHIP fee for W035 is $114.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W035 to OHIP?

W035 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W035 claims against the Schedule of Benefits rules before submission.

What codes are related to W035?

Codes related to W035 in the Schedule of Benefits include W036.

All codes

W035

W035 – Consultation

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

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Levels of this visit

The W03x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W036 Repeat consultation
A repeat consultation rendered by a general surgeon for a non-emergency in-patient in a long-term care facility, including Chronic Care Hospitals, Convalescent Hospitals, Nursing…
$76.45
W035 Consultation(this code)
This service represents a consultation provided by a General Surgeon for a non-emergency in-patient in a long-term care facility.
$114.75

This service represents a consultation provided by a General Surgeon for a non-emergency in-patient in a long-term care facility. As per the definition on page , a consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon. It requires a comprehensive evaluation of the patient's condition, a review of relevant data, and the preparation of a written report with findings and recommendations for the referring practitioner. The service must be rendered in a long-term care setting such as a chronic care hospital, convalescent hospital, nursing home, or home for the aged, as specified on page .

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record (or on the common medical record in a hospital/LTC setting).

The request must identify the consultant by name, the referring 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.

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

W036

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

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