What is OHIP billing code C151?

C151 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C151 pay?

The current OHIP fee for C151 is $83.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C151 to OHIP?

C151 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C151 claims against the Schedule of Benefits rules before submission.

What codes are related to C151?

Codes related to C151 in the Schedule of Benefits include C153, C154, A151, C155.

All codes

C151

C151 – 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 C15x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C154 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist (Endocrinology & Metabolism) for a hospital in-patient, requiring a full, relevant history and physical…
$72.00
C151 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…
$83.40
C153 Medical specific assessment
A medical specific assessment rendered by a specialist in Endocrinology & Metabolism to a hospital in-patient.
$95.95

Consultations

C156 Repeat consultation
This service is a repeat consultation for a non-emergency hospital in-patient, rendered by a specialist in Endocrinology & Metabolism (15).
$110.15
C155 Consultation
A consultation rendered to a hospital in-patient by a specialist in Endocrinology & Metabolism (15) following a written request from a referring physician, nurse practitioner, or…
$172.95
C150 Comprehensive endocrinology consultation
A consultation rendered by a specialist in endocrinology who provides all the appropriate elements of a consultation and spends a minimum of seventy-five (75) minutes in direct…
$342.25

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. The physician must report his/her findings, opinions, or recommendations in writing to the patient’s primary care physician or the amount payable for the service will be adjusted to a lesser assessment fee.

Must include all elements of a medical specific re-assessment (full, relevant history and physical examination of one or more systems).

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

Usage limits

Limited to 4 per patient per physician per 12-month period (either alone or in combination with C153). Services in excess of this limit are adjusted to a lesser assessment fee.

C153Medical specific assessment C154Medical specific re-assessment A151Complex medical specific re-assessment (Out-patient/Office)C155Consultation (Endocrinology)

The prefix 'C' denotes non-emergency hospital in-patient services.

The fee for C151 is $83.40 (as of April 1, 2026).

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