What is OHIP billing code W465?

W465 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W465 pay?

The current OHIP fee for W465 is $205.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W465 to OHIP?

W465 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W465 claims against the Schedule of Benefits rules before submission.

What codes are related to W465?

Codes related to W465 in the Schedule of Benefits include W765, W460, W275, W466, A465.

All codes

W465

W465 – 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 code)
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
Comprehensive infectious disease consultation subject to the same conditions as A460
$342.25

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, Convalescent Hospital, Nursing Home, or Home for the Aged. As a consultation, it requires a written request from a referring physician, nurse practitioner, or dental surgeon as described in the General Preamble (). The service includes a comprehensive assessment and a written report to the referring practitioner. For emergency or special visits, an 'A' prefix code must be used instead of W465.

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, 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, 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 written report (including findings, opinions, and recommendations) must be provided to the referring physician, nurse practitioner or dental surgeon.

W765 W460 W275 W466 A465

Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or convalescent care beds in hospitals and nursing homes or homes for the aged, other than patients in designated palliative care beds.

For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .

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