What is OHIP billing code C020?

C020 is "Complex dermatology assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C020 pay?

The current OHIP fee for C020 is $60.00, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill C020 to OHIP?

C020 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C020 claims against the Schedule of Benefits rules before submission.

What codes are related to C020?

Codes related to C020 in the Schedule of Benefits include A020, C023, C022, E082.

All codes

C020

C020 – Complex dermatology assessment

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

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Levels of this visit

The C02x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C024 Specific re-assessment
A specific re-assessment is a service rendered by a specialist in a hospital in-patient setting (non-emergency) that requires a full, relevant history and physical examination of…
$27.25
C023 Specific assessment
Specific assessment, Dermatology (02), non-emergency hospital in-patient services (see General Preamble GP40 to GP48).
$46.15
C020 Complex dermatology assessment(this code)
A complex dermatology assessment is an in-patient assessment for the ongoing management of specific complex dermatological diseases where the complexity of the condition requires…
$60.00

Consultations

C026 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…
$47.75
C025 Consultation
A consultation rendered to a non-emergency hospital in-patient by a Dermatology specialist following a written request from a referring physician, nurse practitioner, or dental…
$158.15

A complex dermatology assessment is an in-patient assessment for the ongoing management of specific complex dermatological diseases where the complexity of the condition requires continuing management by a dermatology specialist. It is subject to the same conditions and clinical criteria as the out-patient complex dermatology assessment (A020).

Must include all the elements of a specific assessment (as defined in ).

The patient must meet one of the specific clinical criteria for complex dermatology (see Patient Restrictions).

For virtual care, the service must be rendered via video (telephone is not permitted).

Usage limits

Limited to 6 per patient, per physician, per 12-month period. Services in excess of this limit will be adjusted to a lesser assessment fee.

A020Complex dermatology assessment (out-patient)C023Specific assessment (in-patient)C022Subsequent visit (in-patient)E082Admission assessment by the MRP premium

C020 is the in-patient equivalent of A020 and is subject to the same clinical conditions.

The calculation of time (for the 15-minute criterion) excludes time devoted to other separately billable procedures and non-patient-facing time (e.g., chart review).

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