What is OHIP billing code C051?

C051 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C051 pay?

The current OHIP fee for C051 is $74.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C051 to OHIP?

C051 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C051 claims against the Schedule of Benefits rules before submission.

What codes are related to C051?

Codes related to C051 in the Schedule of Benefits include C053, C054, A051, E082.

All codes

C051

C051 – Complex medical specific re-assessment

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

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Levels of this visit

The C05x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C054 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist in an acute care hospital (non-emergency in-patient) requiring a full, relevant history and physical…
$64.30
C051 Complex medical specific re-assessment(this code)
A re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$74.45
C053 Medical specific assessment
A medical specific assessment rendered by a specialist in Community Medicine for a non-emergency hospital in-patient.
$83.85

Consultations

C056 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…
$94.75
C055 Consultation
A consultation rendered to a hospital in-patient by a specialist in Community Medicine (05) following a written request from a referring physician, nurse practitioner, or dental…
$152.80
C050 Special community medicine consultation
This service is a consultation rendered by a specialist in community medicine who provides all the appropriate elements of a consultation and spends a minimum of 50 minutes in…
$176.10

A re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition. It includes all the requirements of a medical specific re-assessment.

The physician must report his/her findings, opinions, or recommendations in writing to the patient’s primary care physician or the amount payable for the service will be adjusted to a lesser assessment fee.

Requires a full, relevant history and physical examination of one or more systems (as per medical specific re-assessment requirements).

Usage limits

Limited to 4 per patient per physician per 12-month period. Any combination of medical specific assessments and complex medical specific re-assessments is also limited to 4 per patient per physician per 12-month period. The amount payable for services in excess of this limit will be adjusted to a lesser assessment fee.

C053Medical specific assessment C054Medical specific re-assessment A051Complex medical specific re-assessment (Out-patient/General Listing)E082Admission assessment by the MRP Premium

If the admitting physician has previously assessed the patient for the same presenting illness within 90 days of the admission assessment, the admission assessment constitutes a specific re-assessment or medical specific re-assessment (e.g., C051).

For emergency calls and other special visits to in-patients, use General Listings (A051) and Premiums when applicable ( to ).

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