What is OHIP billing code W050?

W050 is "Special community medicine consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W050 pay?

The current OHIP fee for W050 is $176.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W050 to OHIP?

W050 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W050 claims against the Schedule of Benefits rules before submission.

What codes are related to W050?

Codes related to W050 in the Schedule of Benefits include A050.

All codes

W050

W050 – Special community medicine consultation

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

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Levels of this visit

The W05x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W054 General re-assessment of patient in nursing home
General re-assessment of a patient in a nursing home, as per the Nursing Homes Act.
$20.60

Consultations

W056 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$94.75
W055 Consultation
A consultation, as defined in GP16 of the Schedule of Benefits, for a patient in a non-emergency long-term care institution.
$152.80
W050 Special community medicine consultation(this code)
A special community medicine consultation rendered to a patient in a long-term care institution.
$176.10

A special community medicine consultation rendered to a patient in a long-term care institution. This service is subject to the same conditions as A050. As a consultation, it requires a written request from a referring physician, nurse practitioner, or dental surgeon in connection with an insured dental procedure in hospital. A copy of the written request must be kept in the medical record. The request must identify the consultant, the referring practitioner, and the patient, and set out relevant information specifying the service(s) required. The consultant must prepare a written report for the referring practitioner. See to for full consultation requirements.

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 long-term care institution where common medical records are maintained, the written request may be contained on the common medical record.

The request identifies the consultant by name, 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.

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

A050

Subject to the same conditions as A050.

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