What is OHIP billing code C153?

C153 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C153 pay?

The current OHIP fee for C153 is $95.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C153 to OHIP?

C153 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C153 claims against the Schedule of Benefits rules before submission.

What codes are related to C153?

Codes related to C153 in the Schedule of Benefits include C154, C151, C152.

All codes

C153

C153 – Medical specific 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
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(this code)
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 medical specific assessment rendered by a specialist in Endocrinology & Metabolism to a hospital in-patient. Requires 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, 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, and/or exclude disease, and/or assess function.

Usage limits

Limited to 4 per patient per physician per 12 month period (combined with complex medical specific re-assessments).

C154Medical specific re-assessment C151Complex medical specific re-assessment C152Subsequent visit - first five weeks

C153A is designated for Video Only services in Appendix J

If the physician has previously assessed the patient for the same illness within 90 days, the service should typically be billed as a re-assessment (C154)

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