What is OHIP billing code C134?

C134 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C134 pay?

The current OHIP fee for C134 is $72.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C134 to OHIP?

C134 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C134 claims against the Schedule of Benefits rules before submission.

What codes are related to C134?

Codes related to C134 in the Schedule of Benefits include C133, C135, C130, C132, E082.

All codes

C134

C134 – Medical specific re-assessment

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

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Levels of this visit

The C13x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C134 Medical specific re-assessment(this code)
A medical specific re-assessment is an admission assessment rendered by an Internal Medicine specialist for the purpose of admitting a patient to an acute care hospital, when the…
$72.00
C131 Complex medical specific re-assessment
A re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$83.40
C133 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in Internal Medicine in a hospital in-patient setting (non-emergency).
$95.95

Consultations

C136 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…
$123.10
C135 Consultation
A consultation rendered by a specialist in Internal Medicine (13) to a hospital in-patient in a non-emergency setting.
$192.85
C130 Comprehensive internal medicine consultation
A consultation rendered by a specialist in internal medicine who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes of…
$342.25

A medical specific re-assessment is an admission assessment rendered by an Internal Medicine specialist for the purpose of admitting a patient to an acute care hospital, when the physician has previously assessed the patient for the same presenting illness within 90 days of the admission assessment.

Must be the initial assessment rendered for the purpose of admitting a patient to hospital.

The physician must have previously assessed the patient for the same presenting illness within 90 days of the admission assessment.

Requires a direct physical encounter with the patient including history and physical examination ().

Usage limits

Limited to one admission assessment (consultation, assessment, or re-assessment) per patient per hospital admission.

C133Medical specific assessment C135Consultation C130Comprehensive internal medicine consultation C132Subsequent visit - first five weeks E082Admission assessment by the MRP premium

C134 is specifically for Internal Medicine (13). Other specialties use different codes for specific re-assessments (e.g., C034 for Vascular Surgery).

If the specialist assesses the patient in the Emergency Department (ED) and then admits them, the initial assessment in the ED constitutes the admission assessment.

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