What is OHIP billing code W056?

W056 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W056 pay?

The current OHIP fee for W056 is $94.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W056 to OHIP?

W056 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W056 claims against the Schedule of Benefits rules before submission.

All codes

W056

W056 – Repeat 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(this code)
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
A special community medicine consultation rendered to a patient in a long-term care institution.
$176.10

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 physician in the interval following the initial consultation but preceding the repeat consultation. This service is provided in a Non-Emergency Long-Term Care In-Patient setting, which includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, and Homes for the Aged. It requires a new written request from a referring physician, nurse practitioner, or dental surgeon, and must meet all the documentation and service requirements of a standard consultation as outlined in the Schedule of Benefits. See pages - for full consultation requirements.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A repeat consultation has the same requirements as a consultation including the requirement for a new written request by the referring physician, nurse practitioner or dental surgeon.

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, 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.

This service is for Non-Emergency Long-Term Care In-Patient Services. This 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 to .

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