What is OHIP billing code C193?

C193 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C193 pay?

The current OHIP fee for C193 is $98.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C193 to OHIP?

C193 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C193 claims against the Schedule of Benefits rules before submission.

What codes are related to C193?

Codes related to C193 in the Schedule of Benefits include C194, A193, C895, C190, C395, C196, C795, C695.

All codes

C193

C193 – Specific assessment

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

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Levels of this visit

The C19x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C194 Specific re-assessment
A specific re-assessment is a service rendered by a specialist in Psychiatry for a non-emergency acute care hospital in-patient.
$75.70
C193 Specific assessment(this code)
A specific assessment rendered by a psychiatrist for a non-emergency acute care hospital in-patient.
$98.70

Consultations

C196 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…
$120.30
C190 Special psychiatric consultation
A special psychiatric consultation is an assessment rendered to a non-emergency acute care hospital in-patient, following a written request from a referring physician, nurse…
$342.25

A specific assessment rendered by a psychiatrist for a non-emergency acute care hospital in-patient. The 'C' prefix designates this service for non-emergency in-patient settings as per . As defined in , this service 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. In addition to the common elements of all insured services (, ), this service includes the specific elements of assessments outlined in , which include: a direct physical encounter, taking a patient history, performing a physical examination, making arrangements for related care, and providing advice to the patient or their representative.

In addition to standard medical record requirements, the record must document the specific elements of an assessment, including a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s).

C194 A193 C895 C190 C395 C196 C795 C695

This code is for non-emergency hospital services. For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums when applicable.

See General Preamble to for terms and conditions for non-emergency hospital services.

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