What is OHIP billing code C074?

C074 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C074 pay?

The current OHIP fee for C074 is $79.85, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C074 to OHIP?

C074 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C074 claims against the Schedule of Benefits rules before submission.

What codes are related to C074?

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

All codes

C074

C074 – 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(this code)
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
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

Medical specific re-assessment- subject to the same conditions as A074. A medical specific re-assessment is a service rendered by a specialist for a non-emergency in-patient in an acute care hospital. This service requires a full, relevant history and physical examination of one or more systems, including the specific elements of assessments outlined in . As per , an admission assessment may be deemed a medical specific re-assessment if the patient was assessed by the same physician for the same illness prior to admission.

C073 C071

See General Preamble to for rules on Non-Emergency Hospital In-Patient Services.

For emergency calls and other special visits to in-patients, use General Listings (“A” prefix) and Premiums when applicable - see General Preamble to .

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