What is OHIP billing code W220?

W220 is "Special genetic consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W220 pay?

The current OHIP fee for W220 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W220 to OHIP?

W220 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W220 claims against the Schedule of Benefits rules before submission.

What codes are related to W220?

Codes related to W220 in the Schedule of Benefits include A220, C220.

All codes

W220

W220 – Special genetic consultation

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

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Levels of this visit

The W22x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W226 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…
$119.40
W225 Consultation
A consultation service provided by a specialist in Genetics (22).
$190.50
W220 Special genetic consultation(this code)
A special genetic consultation rendered to a patient in a non-emergency long-term care institution setting, as defined in GP49.
$342.25
W223 Extended special genetic consultation
An extended special genetic consultation rendered to a patient in a non-emergency, long-term care in-patient setting.
$442.40

A special genetic consultation rendered to a patient in a non-emergency long-term care institution setting, as defined in . These settings include chronic care hospitals, convalescent hospitals, nursing homes, and homes for the aged. The service must meet all the requirements for a consultation as outlined in of the Schedule, including a written request from a referring practitioner. The specific conditions for this service are the same as those for billing code A220.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A220 C220

A consultation is payable at nil if a genetic assessment (K016) or genetic care (K222) has previously been claimed by the same physician.

Subject to the same conditions as A220.

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