What is OHIP billing code W231?

W231 is "Neuro-Ophthalmology Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W231 pay?

The current OHIP fee for W231 is $155.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W231 to OHIP?

W231 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W231 claims against the Schedule of Benefits rules before submission.

What codes are related to W231?

Codes related to W231 in the Schedule of Benefits include A231.

All codes

W231

W231 – Neuro-Ophthalmology Consultation

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

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Levels of this visit

The W23x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W236 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…
$123.10
W231 Neuro-Ophthalmology Consultation(this code)
A neuro-ophthalmology consultation provided to a non-emergency in-patient in a long-term care institution (Chronic Care Hospital, Convalescent Hospital, Nursing Home, Home for the…
$155.45
W235 Consultation
A consultation service rendered by an Internal Medicine (13) or Occupational Medicine (13) specialist for a patient in a long-term care institution (e.g., chronic care hospital…
$192.85

A neuro-ophthalmology consultation provided to a non-emergency in-patient in a long-term care institution (Chronic Care Hospital, Convalescent Hospital, Nursing Home, Home for the Aged, or designated chronic/convalescent care beds). This service is subject to the same conditions as a general listings neuro-ophthalmology consultation (A231). As per the definition of a consultation on page , this service requires a written request from a referring physician, nurse practitioner, or dental surgeon. The consultant must perform an appropriate assessment, including a review of all relevant data, and provide a written report with findings, opinions, and recommendations to the referring practitioner. For emergency calls to these facilities, 'A' prefix General Listings and special visit premiums should be used instead.

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 in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

The consultant is required to prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

A231

Subject to the same conditions as A231.

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