What is OHIP billing code W446?

W446 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W446 pay?

The current OHIP fee for W446 is $115.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W446 to OHIP?

W446 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W446 claims against the Schedule of Benefits rules before submission.

What codes are related to W446?

Codes related to W446 in the Schedule of Benefits include W445, W765, W845, W842, W844, W847, W849, W444.

All codes

W446

W446 – Repeat consultation

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

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Levels of this visit

The W44x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W444 General re-assessment of patient in nursing home
A general re-assessment conducted for a patient in a nursing home.
$20.60

Consultations

W446 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…
$115.95
W445 Consultation
W445 is a consultation rendered by a Medical Oncology specialist for a patient in a long-term care institution.
$183.40

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 following the initial consultation but preceding the repeat consultation, as defined in . This service has the same requirements as a consultation, including a written request from a referring physician, nurse practitioner, or dental surgeon, and the preparation of a written report to the referring provider. This specific 'W' prefix code applies to non-emergency services rendered by a medical oncologist in a long-term care institution, which includes chronic care hospitals, convalescent hospitals, nursing homes, and homes for the aged, as outlined on and . Repeat consultations are an exception to the standard consultation limit of one service per two consecutive 12-month periods for the same diagnosis (see ). For emergency calls or special visits, 'A' prefix codes and special visit premiums must 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. In a long-term care institution with common medical records, the written request may be on the common record.

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

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

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

W445 W765 W845 W842 W844 W847 W849 W444 W442 W441 W982 W443 W448 W972 W121

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