What is OHIP billing code W190?

W190 is "Special psychiatric consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W190 pay?

The current OHIP fee for W190 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W190 to OHIP?

W190 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W190 claims against the Schedule of Benefits rules before submission.

What codes are related to W190?

Codes related to W190 in the Schedule of Benefits include A190, W895, W795, W695, W395, W196.

All codes

W190

W190 – Special psychiatric consultation

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

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Levels of this visit

The W19x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W196 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…
$120.30
W190 Special psychiatric consultation(this code)
A special psychiatric consultation rendered to a patient in a long-term care institution, including Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, and Homes for…
$342.25

A special psychiatric consultation rendered to a patient in a long-term care institution, including Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, and Homes for the Aged. This service is subject to the same conditions as A190. As a consultation, it requires a written request from a referring physician, nurse practitioner, or dental surgeon. The consultant must perform a comprehensive assessment, including a review of all relevant data, and provide a written report with findings, opinions, and recommendations to the referring practitioner. The 'special' designation, similar to a A935 special surgical consultation, implies the physician must devote at least ninety minutes exclusively to the consultation with the patient before a psychiatric consultation extension (K630) can be billed (see ). The service includes all common and specific elements of an assessment as outlined in the Schedule (see -).

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring practitioner, must be kept in the consulting physician's medical record (or on the common medical record in a hospital/LTC setting).

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.

A190 W895 W795 W695 W395 W196

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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