What is OHIP billing code W726?

W726 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W726 pay?

The current OHIP fee for W726 is $123.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W726 to OHIP?

W726 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W726 claims against the Schedule of Benefits rules before submission.

What codes are related to W726?

Codes related to W726 in the Schedule of Benefits include W725, W720, W925, A726, C726.

All codes

W726

W726 – Repeat 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(this code)
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
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

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, provided to a patient in a non-emergency long-term care in-patient setting.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

New written request from a referring physician, nurse practitioner, or dental surgeon is mandatory.

A written report must be provided to the referring provider.

Must include a general, specific, or medical specific assessment.

Intervening care by another physician must have occurred between the initial consultation and the repeat consultation.

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.

Usage limits

Not subject to the 'one per 24 months' limit applicable to general consultations, provided the criteria for a 'repeat' consultation are met.

W725Consultation (LTC)W720Comprehensive occupational medicine consultation (LTC)W925Limited consultation (LTC)A726Repeat consultation (Office/Outpatient)C726Repeat consultation (Hospital In-patient)

If the requirements for a repeat consultation are not met, the fee may be adjusted to a lesser assessment fee.

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