What is OHIP billing code W645?

W645 is "Consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W645 pay?

The current OHIP fee for W645 is $100.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W645 to OHIP?

W645 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W645 claims against the Schedule of Benefits rules before submission.

What codes are related to W645?

Codes related to W645 in the Schedule of Benefits include W646.

All codes

W645

W645 – Consultation

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

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Levels of this visit

The W64x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W646 Repeat consultation
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…
$60.95
W645 Consultation(this code)
A consultation service rendered by a General Thoracic Surgery specialist following a written request from a referring practitioner for a patient in a Long-Term Care Institution…
$100.15

A consultation service rendered by a General Thoracic Surgery specialist following a written request from a referring practitioner for a patient in a Long-Term Care Institution (e.g., chronic care hospital, nursing home). The service requires a comprehensive assessment and a written report back to the referring practitioner. As per , a copy of the written request must be kept in the patient's record. This 'W' prefix code is for non-emergency, in-patient services and is not applicable to patients in designated palliative care beds. For emergency calls or other special visits, an 'A' prefix code with the appropriate Special Visit Premium must be used instead. Payment is subject to limitations based on frequency for the same diagnosis or an unrelated diagnosis as detailed in .

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 setting with a common medical record, the written request may be contained on the common medical record.

The written request must identify the consultant by name, the referring physician, nurse practitioner or dental surgeon by name and billing number, and the patient by name and health number.

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

W646

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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