What is OHIP billing code W065?

W065 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W065 pay?

The current OHIP fee for W065 is $89.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W065 to OHIP?

W065 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W065 claims against the Schedule of Benefits rules before submission.

What codes are related to W065?

Codes related to W065 in the Schedule of Benefits include W066, W062, W061, W982, W063, W068, W972, W121.

All codes

W065

W065 – Consultation

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

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Levels of this visit

The W06x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W066 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…
$55.35
W065 Consultation(this code)
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon who requests the opinion of a consultant…
$89.80

A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon who requests the opinion of a consultant physician because of the complexity, seriousness, or obscurity of the case. This service, specifically for Orthopaedic Surgery, applies to non-emergency in-patients in long-term care institutions as defined in the Schedule. The service includes a general, specific, or medical specific assessment, a review of all relevant data, and the preparation of a written report to the referring practitioner. As per , all assessments include a direct physical encounter, history taking, necessary procedures not otherwise billed, arranging follow-up, and discussion with the patient or representative.

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.

W066 W062 W061 W982 W063 W068 W972 W121 W124

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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