Billing code
C606A — Repeat Consultation
Cardiology in-patient repeat consultation
Bill for another cardiology consultation on the same problem for a hospital in-patient after another physician cared for them in between.
Watch for: Needs a new written request with the referrer's billing number; otherwise it pays as an assessment.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $105.25 | $0.00 | $0.00 | $0.00 |
- Code
- C606A
- Description
- Repeat Consultation
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Jun 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Repeat cardiology consultation for a hospital in-patient: same consultant, same problem, after another physician has cared for the patient in between.
What it covers
C606 is a repeat consultation by a cardiologist for a non-emergency hospital in-patient (A80).
A repeat consultation is an additional consultation by the same consultant for the same presenting problem, after another physician has cared for the patient in the interval since the first consultation. It has the same requirements as a consultation, including a new written request (GP19).
Billing rules
- A new written request from the referring physician, nurse practitioner or dental surgeon is required (GP19).
- The signed written request must be kept in the chart (a common hospital record is fine) and name the consultant or specialty, the referrer with billing number, and the patient with health number. Otherwise it pays as a lesser assessment (GP16).
- Repeat consultations don't count toward the consultation limits (GP17, GP18).
- If the repeat consultation requirements are not met, it pays as a general or specific assessment (GP17, GP18).
- Detention (K001) is payable only after 60 minutes for a repeat consultation (GP30).
- Virtual care: video only, not phone (Appendix J, AJ2). For an in-patient, you must not be the MRP, the hospital must lack a local physician with the expertise (documented by the referrer), and the referrer must have seen the patient in person within 30 days (A69).
- For emergency calls and other special visits to in-patients, bill the A-prefix General Listings with special visit premiums instead (A80, GP65–GP78).
Often billed with
- C101 ICU/CCU premium for each patient seen on a visit to the ICU or CCU, unless a critical care, ventilatory or comprehensive care team fee is claimed (GP103).
Common rejections
- ARF: OHIP's message is 'Missing Physician Referring Number': a consultation needs a referring physician or nurse practitioner, so add the referrer's billing number to the claim (GP16).
- AT2: OHIP's message is 'Must Include Video Modality': in-patient (C-prefix) virtual services are video only, so a phone claim (K301A) is refused (AJ2).
Related codes: A606, C605, C600, C675, C604
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Cardiology (60), page A80; rules GP16–GP19.
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