What is OHIP billing code W460?

W460 is "Comprehensive infectious disease consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W460 pay?

The current OHIP fee for W460 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W460 to OHIP?

W460 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W460 claims against the Schedule of Benefits rules before submission.

What codes are related to W460?

Codes related to W460 in the Schedule of Benefits include A460, W465, W765, W275, W466.

All codes

W460

W460 – Comprehensive infectious disease consultation

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

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Levels of this visit

The W46x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

W464 General re-assessment of patient in nursing home
A general re-assessment of a patient in a nursing home, as required by the Nursing Homes Act.
$20.60

Consultations

W466 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem.
$124.00
W465 Consultation
This service is a consultation rendered by a specialist in Infectious Disease (46) for a patient in a non-emergency long-term care setting, such as a Chronic Care Hospital…
$205.90
W460 Comprehensive infectious disease consultation(this code)
Comprehensive infectious disease consultation subject to the same conditions as A460
$342.25

Comprehensive infectious disease consultation - subject to the same conditions as A460

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 where common medical records are maintained, the written request may be contained on the common medical record.

The 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 the information relevant to the referral and specify the service(s) required.

A460 W465 W765 W275 W466

Subject to the same conditions as A460.

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