What is OHIP billing code W185?

W185 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W185 pay?

The current OHIP fee for W185 is $225.55, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W185 to OHIP?

W185 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W185 claims against the Schedule of Benefits rules before submission.

What codes are related to W185?

Codes related to W185 in the Schedule of Benefits include W180, W682, W385, W186, W113, W184, W182, W181.

All codes

W185

W185 – Consultation

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

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Levels of this visit

The W18x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W184 General re-assessment of patient in nursing home
A general re-assessment includes all the services listed for a general assessment, with the exception of the patient's history, which need not include all the details already…
$20.60

Consultations

W186 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…
$125.50
W185 Consultation(this code)
A consultation for a patient in a non-emergency long-term care setting, including Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, and designated…
$225.55
W180 Special neurology consultation
A special neurology consultation rendered by a neurologist for a non-emergency in-patient in a long-term care institution (Chronic Care Hospital, Convalescent Hospital, Nursing…
$342.25

A consultation for a patient in a non-emergency long-term care setting, including Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, and designated chronic or convalescent care beds. As per the General Preamble (), 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 because of the complexity, seriousness, or obscurity of the case. The consultant must perform an assessment and provide a written report with findings, opinions, and recommendations back to the referring practitioner. For emergency calls and other special visits to these patients, A prefix codes and Special Visit Premiums should be used.

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. In settings with a common medical record (e.g., hospital, LTC institution), 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 set out the information relevant to the referral and specify the service(s) required.

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

Usage limits

OR([1, "24_months", "per_patient_per_physician", "Limit for same diagnosis, per same physician. See payment rules for exceptions for repeat consultations or subsequent hospitalizations."], [1, "12_months", "per_patient_per_physician", "Limit for a clearly defined, unrelated diagnosis."])

W180 W682 W385 W186 W113 W184 W182 W181 W982 W183 W188 W972 W121

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