What is OHIP billing code W466?

W466 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W466 pay?

The current OHIP fee for W466 is $124.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W466 to OHIP?

W466 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W466 claims against the Schedule of Benefits rules before submission.

What codes are related to W466?

Codes related to W466 in the Schedule of Benefits include W465, W765, W460, W275, A466.

All codes

W466

W466 – Repeat 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(this code)
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
Comprehensive infectious disease consultation subject to the same conditions as A460
$342.25

A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem. This service is provided following care rendered to the patient by another physician in the interval between the initial consultation and this repeat consultation. A repeat consultation has the same requirements as an initial consultation, including the need for a new written request from the referring physician, nurse practitioner, or dental surgeon. This specific fee code applies when the service is rendered in a Non-Emergency Long-Term Care In-Patient Services setting, which includes Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, and Homes for the Aged.

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. 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 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 must set out the information relevant to the referral and specifies the service(s) required.

A written report including findings, opinions, and recommendations must be prepared and provided to the referring practitioner.

W465 W765 W460 W275 A466

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.

The standard limit of one consultation per two consecutive 12-month periods for the same diagnosis does not apply to repeat consultations.

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