What is OHIP billing code W186?

W186 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W186 pay?

The current OHIP fee for W186 is $125.50, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W186 to OHIP?

W186 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W186 claims against the Schedule of Benefits rules before submission.

What codes are related to W186?

Codes related to W186 in the Schedule of Benefits include W185, W385, A186.

All codes

W186

W186 – Repeat consultation

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

Ask a question

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(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…
$125.50
W185 Consultation
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 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. This service (W186) is specifically for a neurologist providing non-emergency care to a patient in a long-term care setting. Refer to for the general definition of a repeat consultation.

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 where common medical records are maintained ().

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 ().

A written report (including findings, opinions, and recommendations) must be prepared for the referring practitioner ().

W185 W385 A186

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in