What is OHIP billing code W356?

W356 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W356 pay?

The current OHIP fee for W356 is $64.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W356 to OHIP?

W356 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W356 claims against the Schedule of Benefits rules before submission.

What codes are related to W356?

Codes related to W356 in the Schedule of Benefits include W355.

All codes

W356

W356 – Repeat consultation

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

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Levels of this visit

The W35x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W356 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…
$64.90
W355 Consultation
A urology (35) consultation for a non-emergency patient in a Long-Term Care Institution, which includes chronic care hospitals, convalescent hospitals, nursing homes, and homes…
$93.15

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. 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. This service may include physical examination pertaining to the genito-urinary tract and when necessary such procedures as urethral calibration, catheterization and prostatic fluid examination, but not to include endoscopic examination.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A repeat consultation requires a new written request from the referring practitioner.

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, unless in a facility with a common medical record where the request may be contained therein.

The written request must identify the consultant by name, the referring practitioner by name and billing number, and the patient by name and health number.

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

The consultant must prepare a written report (including findings, opinions, and recommendations) for the referring practitioner.

W355

May include physical examination pertaining to the genito-urinary tract and when necessary such procedures as urethral calibration, catheterization and prostatic fluid examination, but not to include endoscopic examination.

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