What is OHIP billing code C083?

C083 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C083 pay?

The current OHIP fee for C083 is $54.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C083 to OHIP?

C083 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C083 claims against the Schedule of Benefits rules before submission.

What codes are related to C083?

Codes related to C083 in the Schedule of Benefits include A083, C084, C085, C086.

All codes

C083

C083 – Specific assessment

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

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Levels of this visit

The C08x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C084 Specific re-assessment
A specific re-assessment is a service rendered by a specialist (Plastic Surgery, specialty 08) for a hospital in-patient.
$34.90
C083 Specific assessment(this code)
A specific assessment is a service rendered by a specialist (Plastic Surgery) for a hospital in-patient, requiring a full history of the presenting complaint and a detailed…
$54.40

Consultations

C086 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…
$62.80
C085 Consultation
A consultation rendered by a Plastic Surgeon following a written request from a referring physician, nurse practitioner, or dental surgeon, including a review of relevant data…
$106.25

A specific assessment is a service rendered by a specialist (Plastic Surgery) for a hospital in-patient, requiring a full history of the presenting complaint and a 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.

Full history of the presenting complaint.

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

Usage limits

Limited to one per patient per physician per 12-month period. This limit is increased to two per 12-month period if the patient presents a second time with a complaint for which the diagnosis is clearly different and unrelated to the diagnosis made at the time of the first specific assessment.

A083Specific assessment (Office/Out-patient)C084Specific re-assessment C085Consultation (Hospital In-Patient)C086Repeat consultation (Hospital In-Patient)

C083 is specifically listed under Plastic Surgery (08) Non-Emergency Hospital In-Patient Services.

The fee for C083 is $54.40.

If the usage limit is exceeded, the amount payable will be adjusted to a lesser assessment fee (typically C084).

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