What is OHIP billing code C183?

C183 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C183 pay?

The current OHIP fee for C183 is $82.40, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill C183 to OHIP?

C183 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C183 claims against the Schedule of Benefits rules before submission.

What codes are related to C183?

Codes related to C183 in the Schedule of Benefits include A183, C185, C180, C682, C384, C385, C186, C184.

All codes

C183

C183 – Medical specific assessment

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

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Levels of this visit

The C18x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C184 Medical specific re-assessment
A medical specific re-assessment rendered by a neurologist for a non-emergency hospital in-patient.
$64.95
C181 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…
$75.20
C183 Medical specific assessment(this code)
A medical specific assessment rendered by a specialist in Neurology (18) to a non-emergency in-patient in an acute care hospital.
$82.40

Consultations

C186 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…
$125.50
C185 Consultation
A consultation rendered by a neurologist for a non-emergency hospital in-patient.
$225.55
C180 Special neurology consultation
C180 is a special neurology consultation for a non-emergency hospital in-patient.
$342.25

A medical specific assessment rendered by a specialist in Neurology (18) to a non-emergency in-patient in an acute care hospital. As defined in : , this service is rendered by a specialist 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. The 'C' prefix indicates the service is for non-emergency in-patient services in an acute care hospital as per : `.

The service must include a direct physical encounter with the patient, a full history of the presenting complaint, and a detailed examination of the affected part(s), region(s), or system(s). These details must be documented in the patient's medical record.

Usage limits

OR([1, "12_months", "per_patient_per_physician", "Maximum of 1 per 12-month period, unless specific criteria are met to allow a second."], [4, "12_months", "per_patient_per_physician", "Maximum of 4 combined medical specific assessments and complex medical specific re-assessments per 12-month period."])

A183 C185 C180 C682 C384 C385 C186 C184 C181 C113 C182 C187 C189 C122 C123 C124 C142 C143 C121 C188 C982

See to for non-emergency hospital in-patient services.

For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see to .

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