Billing code
C035A — Consultation
General surgery in-patient consultation
Bill C035 for a general surgeon's consultation on a hospital in-patient, at the written request of a physician or nurse practitioner.
Watch for: The signed request must name the referrer and their billing number, or it is paid as a lesser assessment.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $114.75 | $0.00 | $0.00 | $0.00 |
- Code
- C035A
- Description
- Consultation
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
General surgeon's consultation for a hospital in-patient, at the written request of a physician or nurse practitioner.
What it covers
C035 is a consultation for a non-emergency hospital in-patient in the General Surgery (03) listings (A107). The office version is A035.
A consultation is an assessment done at the written request of a referring physician, nurse practitioner or dental surgeon, because of the complexity, seriousness or obscurity of the case or at the patient's request for another opinion (GP16).
Billing rules
- Needs a written, signed request from a physician, nurse practitioner or dental surgeon (in-hospital dental) naming you or your specialty, the referrer and their billing number, and the patient and health number; in hospital it may be in the common record. Otherwise it is paid as a lesser assessment (GP16).
- Send a written report with findings, opinions and recommendations to the referrer (GP16).
- Same patient, same diagnosis: one consultation per two consecutive 12-month periods (a second is allowed only for an in-patient or ED consult 12–24 months after the first); a clearly unrelated diagnosis allows one every 12 months. Extra ones are paid as an assessment (GP17, GP18).
- Specialist consultations take the age premium for patients under 16 (GP64).
- A consultation that becomes the admission assessment counts as such; only one consultation or assessment is payable per admission when care is transferred (GP40).
- A pre-operative consultation before low-risk elective colonoscopy (or cataract, cystoscopy, carpal tunnel or arthroscopic surgery) under local or IV sedation is payable only if the record shows it was medically necessary (GP18).
- For emergency calls and other special visits to in-patients, use the General Listings and special visit premiums (A107).
Often billed with
- E082 MRP admission premium when the consultation is your admission assessment as most responsible physician (GP42).
Common rejections
- ARF: OHIP describes this as 'Missing physician referring number': a consultation needs a written request from the referring physician or nurse practitioner, and their number belongs on the claim (GP16).
Related codes: A035, C935, C036, C033, C034, C032
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, General Surgery (03), page A107.
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