What is OHIP billing code W266?

W266 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W266 pay?

The current OHIP fee for W266 is $104.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W266 to OHIP?

W266 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W266 claims against the Schedule of Benefits rules before submission.

What codes are related to W266?

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

All codes

W266

W266 – Repeat 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(this code)
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
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

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 the interval between the initial consultation and the repeat consultation. It has the same requirements as a standard consultation, including a new written request from a referring physician, nurse practitioner, or dental surgeon. The consultant must perform an appropriate assessment and provide a written report of findings, opinions, and recommendations to the referring practitioner. This service is specifically for non-emergency situations in long-term care settings.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A repeat consultation has the same requirements as a consultation including the requirement for a new written request by the referring physician, nurse practitioner or dental surgeon.

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 and/or the specialty being consulted, 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.

A consultation includes the services necessary to enable the consultant to prepare a written report (including findings, opinions, and recommendations) to the referring physician, nurse practitioner or dental surgeon.

W265 W260 W662 W667 W565

The limits on the number of consultations per 12 or 24 month period do not apply to repeat consultations.

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