What is OHIP billing code W911?

W911 is "Special family and general practice consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does W911 pay?

The current OHIP fee for W911 is $164.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill W911 to OHIP?

W911 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates W911 claims against the Schedule of Benefits rules before submission.

All codes

W911

W911 – Special family and general practice consultation

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

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Levels of this visit

The W91x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

W911 Special family and general practice consultation(this code)
A special family and general practice consultation rendered to a patient in a non-emergency long-term care in-patient setting (chronic care hospitals, convalescent hospitals…
$164.95
W912 Comprehensive family and general practice consultation
A comprehensive family and general practice consultation rendered by a physician in Family Practice & Practice in General (00) to a patient in a non-emergency long-term care…
$247.40

A special family and general practice 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 A911. For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable ( to ).

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

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.

W-prefix services apply to non-emergency in-patient services for patients in chronic care hospitals, convalescent hospitals, nursing homes, homes for the aged, and designated chronic or convalescent care beds in hospitals (other than designated palliative care beds).

If the requirements for a consultation are not met, the amount payable will be reduced to a lesser assessment fee.

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