What is OHIP billing code W076?

W076 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W076 pay?

The current OHIP fee for W076 is $113.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W076 to OHIP?

W076 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W076 claims against the Schedule of Benefits rules before submission.

What codes are related to W076?

Codes related to W076 in the Schedule of Benefits include W075, W775, W770, W375, W272, W274, W277, W279.

All codes

W076

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

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. 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 written report of findings, opinions and recommendations must be sent 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.

The 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.

W075 W775 W770 W375 W272 W274 W277 W279 W074 W072 W071 W982 W073 W078 W972 W121 W010 A775 A770

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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