What is OHIP billing code C071?

C071 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C071 pay?

The current OHIP fee for C071 is $103.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C071 to OHIP?

C071 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C071 claims against the Schedule of Benefits rules before submission.

What codes are related to C071?

Codes related to C071 in the Schedule of Benefits include A071, C073, C074, A078.

All codes

C071

C071 – 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 C07x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C074 Medical specific re-assessment
Medical specific re-assessment- subject to the same conditions as A074.
$79.85
C073 Medical specific assessment
A medical specific assessment rendered by a Geriatrics specialist to a hospital in-patient, requiring a full history of the presenting complaint and a detailed examination of the…
$99.05
C071 Complex medical specific re-assessment(this code)
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition and includes all the…
$103.80

Consultations

C076 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…
$113.35
C075 Consultation
A consultation rendered to a hospital in-patient by a specialist in Geriatrics (07) following a written request from a referring physician, nurse practitioner, or dental surgeon.
$255.85

A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition and includes all the requirements of a medical specific re-assessment. It is rendered by a specialist in Geriatrics for an in-patient in a non-emergency hospital setting.

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

The physician must report findings, opinions, or recommendations in writing to the patient’s primary care physician.

Failure to provide the written report results in the fee being adjusted to a lesser assessment fee.

Usage limits

Limited to 4 per patient per physician per 12-month period. This limit is shared with medical specific assessments (C073). Services in excess of this limit are adjusted to a lesser assessment fee.

A071Complex medical specific re-assessment (Out-patient/Office)C073Medical specific assessment (In-patient)C074Medical specific re-assessment (In-patient)A078Partial assessment

C071 is the in-patient equivalent of A071 and is subject to the same clinical conditions.

If the physician has previously assessed the patient for the same presenting illness within 90 days, the service is billed as a re-assessment (C071 or C074) rather than an initial assessment (C073).

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