What is OHIP billing code C034?

C034 is "Specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C034 pay?

The current OHIP fee for C034 is $36.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C034 to OHIP?

C034 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C034 claims against the Schedule of Benefits rules before submission.

All codes

C034

C034 – Specific re-assessment

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

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Levels of this visit

The C03x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C034 Specific re-assessment(this code)
C034 is a specific re-assessment rendered by a specialist for a non-emergency hospital in-patient.
$36.75
C033 Specific assessment
A specific assessment for a non-emergency hospital in-patient provided by a physician with the specialty designation of General Surgery (03).
$56.40

Consultations

C036 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$76.45
C035 Consultation
A consultation rendered to a hospital in-patient by a specialist in General Surgery following a written request from a referring physician, nurse practitioner, or dental surgeon.
$114.75

C034 is a specific re-assessment rendered by a specialist for a non-emergency hospital in-patient. As per , a specific re-assessment requires a full, relevant history and physical examination of one or more systems. According to , the 'C' prefix designates this service for acute care hospital – non-emergency in-patient services.

Requires documentation of a full, relevant history and physical examination of one or more systems in the patient's medical record.

All insured services must be documented in the medical record to establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.

All services described as assessments must include the specific elements outlined in : a direct physical encounter, history, physical examination, and other components as required.

A hospital admission assessment constitutes a specific re-assessment if the admitting physician has previously assessed the patient for the same presenting illness within 90 days of the admission assessment ().

Admission assessments are deemed to be a specific re-assessment for those procedures prefixed with a 'Z' or noted as an IOP, by a surgical specialist who has assessed the patient prior to admission in respect of the same illness, or for those patients who have been assessed by a physician and subsequently admitted to the hospital for the same illness by the same physician (, ).

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