What is OHIP billing code W196?

W196 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W196 pay?

The current OHIP fee for W196 is $120.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W196 to OHIP?

W196 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W196 claims against the Schedule of Benefits rules before submission.

What codes are related to W196?

Codes related to W196 in the Schedule of Benefits include A196, W895.

All codes

W196

W196 – Repeat 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(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…
$120.30
W190 Special psychiatric consultation
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 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. This service is performed in a non-emergency capacity for an in-patient of a long-term care institution (e.g., chronic care hospital, nursing home, home for the aged). A repeat consultation has the same requirements as a consultation, including the requirement for a new written request from a referring physician, nurse practitioner, or dental surgeon.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the repeat consultation, signed by the referring practitioner, must be kept in the consultant's medical record (unless in a facility with a common medical record).

The request must identify the consultant, referring practitioner (with billing number), and patient (with health number).

The request must set out relevant information and specify the service(s) required.

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

A196 W895

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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