What is OHIP billing code C073?

C073 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C073 pay?

The current OHIP fee for C073 is $99.05, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C073 to OHIP?

C073 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C073 claims against the Schedule of Benefits rules before submission.

What codes are related to C073?

Codes related to C073 in the Schedule of Benefits include A073, C074, W073.

All codes

C073

C073 – Medical specific assessment

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

Ask a question

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(this code)
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
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 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 affected systems to make a diagnosis or assess function.

Full history of the presenting complaint

Detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function

Usage limits

Limited to 1 per 12-month period (2 if unrelated diagnosis or 90 days elapsed + admission assessment). Combined limit of 4 with C071.

A073Medical specific assessment (Out-patient)C074Medical specific re-assessment W073Subsequent visit - first 2 per month (Nursing Home)

Subject to the same conditions as A073

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in