What is OHIP billing code C173?

C173 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C173 pay?

The current OHIP fee for C173 is $49.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C173 to OHIP?

C173 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C173 claims against the Schedule of Benefits rules before submission.

All codes

C173

C173 – Specific assessment

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

Ask a question

Levels of this visit

The C17x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C174 Specific re-assessment
A specific re-assessment rendered by a vascular surgery specialist for a non-emergency hospital in-patient.
$28.80
C173 Specific assessment(this code)
A specific assessment rendered by a specialist for a non-emergency hospital in-patient.
$49.30

Consultations

C176 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…
$66.60
C175 Consultation
A consultation is an assessment provided by a specialist (Vascular Surgery) for a non-emergency hospital in-patient, following a written request from a referring practitioner.
$125.15

A specific assessment rendered by a specialist for a non-emergency hospital in-patient. Definition As per , a specific assessment is a service rendered by a specialist, in a place other than a patient's home, and requires a full history of the presenting complaint and 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. Specific Elements of an Assessment As per , in addition to the common elements, all assessments include: • A direct physical encounter with the patient including history taking and physical examination. • Other inquiry to arrive at an opinion as to the nature of the patient's condition. • Performing any procedure(s) during the same encounter unless separately payable. • Making arrangements for any related assessments, procedures or therapy, and/or interpreting results. • Making arrangements for follow-up care. • Discussion with, and providing advice and information to the patient or representative. • Monitoring the condition of the patient and intervening, when medically indicated, until the next insured service. • Providing premises, equipment, supplies, and personnel for the service elements, except for aspects performed in a hospital or nursing home.

A full history of the presenting complaint and 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 must be documented in the patient's medical record.

This is a non-emergency hospital in-patient service. See to for rules on hospital and institutional services.

For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums when applicable. See to .

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in