What is OHIP billing code W075?

W075 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W075 pay?

The current OHIP fee for W075 is $249.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W075 to OHIP?

W075 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W075 claims against the Schedule of Benefits rules before submission.

What codes are related to W075?

Codes related to W075 in the Schedule of Benefits include W775, W770, W375, W076, A775, A770.

All codes

W075

W075 – Consultation

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

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Levels of this visit

The W07x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W074 General reassessment of patient in nursing home
A general reassessment of a patient in a nursing home, performed according to the requirements of the Nursing Homes Act.
$20.60

Consultations

W076 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…
$113.35
W075 Consultation(this code)
This service is a consultation for a patient in a non-emergency, long-term care in-patient setting.
$249.90

This service is a consultation for a patient in a non-emergency, long-term care in-patient setting. These settings include chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals or nursing homes/homes for the aged (excluding designated palliative care beds). 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 specialist due to the complexity, seriousness, or obscurity of the case. The consultant physician must perform a general, specific, or medical specific assessment, review all relevant data, and provide a written report with findings, opinions, and recommendations to the referring practitioner.

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.

W775 W770 W375 W076 A775 A770

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