What is OHIP billing code W260?

W260 is "Special paediatric consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W260 pay?

The current OHIP fee for W260 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W260 to OHIP?

W260 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W260 claims against the Schedule of Benefits rules before submission.

What codes are related to W260?

Codes related to W260 in the Schedule of Benefits include A260, W265, W662, W667, W565, W266.

All codes

W260

W260 – Special paediatric consultation

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

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Levels of this visit

The W26x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W266 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, following care rendered to the patient by another physician in…
$104.70
W265 Consultation
Consultation listed under Paediatrics (26), Non-Emergency Long-Term Care In-Patient Services.
$190.35
W260 Special paediatric consultation(this code)
Non-Emergency Long-Term Care In-Patient Services include chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent…
$342.25

Non-Emergency Long-Term Care In-Patient Services include chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals and nursing homes or homes for the aged, other than patients in designated palliative care beds.

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 (or on the common medical record).

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

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

A written report of findings, opinions, and recommendations must be provided to the referring practitioner.

Age

Applicable to newborns, infants, children, and adolescents as per the Paediatrics specialty context.

A260 W265 W662 W667 W565 W266

Subject to the same conditions as A260.

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