What is OHIP billing code W720?

W720 is "Comprehensive occupational medicine consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W720 pay?

The current OHIP fee for W720 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W720 to OHIP?

W720 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W720 claims against the Schedule of Benefits rules before submission.

What codes are related to W720?

Codes related to W720 in the Schedule of Benefits include W725, W925, W726, A720, W130, W725, W925, W726.

All codes

W720

W720 – Comprehensive occupational medicine consultation

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

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Levels of this visit

The W72x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W726 Repeat consultation
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…
$123.10
W725 Consultation
A consultation rendered by a specialist in occupational medicine to a patient in a non-emergency long-term care in-patient setting, including chronic care hospitals, convalescent…
$192.85
W720 Comprehensive occupational medicine consultation(this code)
A comprehensive occupational medicine consultation rendered to a patient in a non-emergency long-term care in-patient setting (chronic care hospitals, convalescent hospitals…
$342.25

A comprehensive occupational medicine consultation rendered to a patient in a non-emergency long-term care in-patient setting (chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals and nursing homes or homes for the aged, other than patients in designated palliative care beds). This service is subject to the same conditions as A720. For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable ( to ).

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

The physician must spend a minimum of 75 minutes in direct contact with the patient.

The start and stop times must be recorded in the patient’s permanent medical record.

Usage limits

Generally limited to one consultation per patient per 12-month period per physician for the same diagnosis, unless a new and unrelated condition arises.

W725Consultation (LTC)W925Limited consultation (LTC)W726Repeat consultation (LTC)A720Comprehensive occupational medicine consultation (Office)W130Comprehensive internal medicine consultation (LTC)W725 W925 W726 A720 A130

Subject to the same conditions as A720 (Occupational Medicine) and A130 (Internal Medicine).

Special visit premiums are not eligible for payment for elective consultations.

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