What is OHIP billing code W105?

W105 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W105 pay?

The current OHIP fee for W105 is $95.60, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W105 to OHIP?

W105 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W105 claims against the Schedule of Benefits rules before submission.

What codes are related to W105?

Codes related to W105 in the Schedule of Benefits include W102, W104, W107, W010.

All codes

W105

W105 – Consultation

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

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Levels of this visit

The W10x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W106 Repeat consultation
Repeat consultation rendered to a non-emergency long-term care in-patient.
$45.90
W105 Consultation(this code)
A consultation is an assessment rendered in a long-term care institution following a written request from a referring practitioner, which can be a physician, nurse practitioner…
$95.60

A consultation is an assessment rendered in a long-term care institution following a written request from a referring practitioner, which can be a physician, nurse practitioner, or a dental surgeon (in connection with an insured dental procedure in a hospital). The request is made because of the complexity, seriousness, or obscurity of the case, or because the patient or their representative requests a second opinion. The service includes all necessary work to provide a written report with findings, opinions, and recommendations to the referring practitioner. **Requirements as per :** • A copy of the written request for the consultation must be kept in the patient's record. For an institutional setting, this may be on the common medical record. • The request must identify the consultant by name, the referring practitioner by name and billing number, and the patient by name and health number. • The written request must set out the information relevant to the referral and specify the service(s) required. • Failure to meet these requirements may result in the service being paid as a lesser assessment fee.

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.

W102 W104 W107 W010

Consultation limits are applicable to all consultations, including time-based and age-specific consultation services (e.g. special, extended and comprehensive consultations) but not repeat consultations.

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