What is OHIP billing code W046?

W046 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W046 pay?

The current OHIP fee for W046 is $64.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W046 to OHIP?

W046 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W046 claims against the Schedule of Benefits rules before submission.

What codes are related to W046?

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

All codes

W046

W046 – Repeat 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(this code)
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 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

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 the interval following the initial consultation but preceding the repeat consultation. This service has the same requirements as a regular consultation, including a new written request. This specific code applies when the service is rendered by a Neurosurgeon to a patient in a non-emergency situation within a long-term care institution, such as a Chronic Care Hospital, Convalescent Hospital, Nursing Home, or Home for the Aged.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A new written request from the referring practitioner is required for each repeat consultation.

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 or long-term care institution).

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.

W045

This service applies to patients in 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 to .

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