What is OHIP billing code W175?

W175 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W175 pay?

The current OHIP fee for W175 is $125.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W175 to OHIP?

W175 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W175 claims against the Schedule of Benefits rules before submission.

What codes are related to W175?

Codes related to W175 in the Schedule of Benefits include W176, W172, W171, W982, W173, W178, W972, W121.

All codes

W175

W175 – Consultation

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

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Levels of this visit

The W17x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W176 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, after the patient has received care from another physician…
$66.60
W175 Consultation(this code)
A vascular surgery consultation for a non-emergency patient in a Long-Term Care Institution.
$125.15

A vascular surgery consultation for a non-emergency patient in a Long-Term Care Institution. These services apply to patients in chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals, excluding patients in designated palliative care beds. According to the definition on page , a consultation is an assessment rendered following a written request from a referring physician, nurse practitioner, or dental surgeon, requiring the consultant to prepare a written report with findings, opinions, and recommendations for the referring practitioner. For emergency calls and other special visits, General Listings ('A' prefix codes) and Special Visit Premiums must be used instead.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the patient's medical record. If in a facility with a common medical record, the request may be on that 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 specify the service(s) required and include relevant information for the referral.

The consultant must prepare a written report including findings, opinions, and recommendations for the referring practitioner.

W176 W172 W171 W982 W173 W178 W972 W121

The referring practitioner must determine the medical necessity of multiple consultation requests by a patient for the same condition to different physicians in the same specialty.

The 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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