What is OHIP billing code C023?

C023 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C023 pay?

The current OHIP fee for C023 is $46.15, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C023 to OHIP?

C023 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C023 claims against the Schedule of Benefits rules before submission.

What codes are related to C023?

Codes related to C023 in the Schedule of Benefits include C025, C022, W023.

All codes

C023

C023 – Specific 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(this code)
Specific assessment, Dermatology (02), non-emergency hospital in-patient services (see General Preamble GP40 to GP48).
$46.15
C020 Complex dermatology assessment
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

Specific assessment, Dermatology (02), non-emergency hospital in-patient services (see General Preamble to ).

Must include a direct physical encounter, history, and physical examination ().

Must include inquiry to arrive at an opinion and arrangements for follow-up care.

Usage limits

Limited to one admission assessment (consultation or specific assessment) per patient per admission.

C025Consultation C022Subsequent visit - first 5 weeks W023Subsequent visit - Nursing Home (First 2/month)

C023 is for Acute Care Hospital; W023 is for Nursing Home.

If the physician is not the MRP, the E082 premium cannot be billed.

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