What is OHIP billing code W045?

W045 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W045 pay?

The current OHIP fee for W045 is $145.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W045 to OHIP?

W045 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W045 claims against the Schedule of Benefits rules before submission.

What codes are related to W045?

Codes related to W045 in the Schedule of Benefits include W046.

All codes

W045

W045 – Consultation

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

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Levels of this visit

The W04x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W046 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, following care rendered to the patient by another physician in…
$64.85
W045 Consultation(this code)
This service represents a consultation provided by a neurosurgeon for an in-patient within a Long-Term Care (LTC) setting, which includes chronic care hospitals, convalescent…
$145.60

This service represents a consultation provided by a neurosurgeon for an in-patient within a Long-Term Care (LTC) setting, which includes chronic care hospitals, convalescent hospitals, nursing homes, and homes for the aged. As per the definition of a consultation in , this service requires a written request from a referring physician, nurse practitioner, or dental surgeon. The consultant must perform an assessment, review relevant data, and provide a written report with findings and recommendations back to the referring practitioner. This code applies to non-emergency situations; emergency calls or special visits to LTC in-patients should be billed using the appropriate 'A' prefix code from the General Listings along with a Special Visit Premium as described in -.

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.

A consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

W046

Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or convalescent care beds in hospitals and nursing homes or homes for the aged, other than patients in designated palliative care beds.

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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