What is OHIP billing code C194?

C194 is "Specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C194 pay?

The current OHIP fee for C194 is $75.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C194 to OHIP?

C194 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C194 claims against the Schedule of Benefits rules before submission.

What codes are related to C194?

Codes related to C194 in the Schedule of Benefits include C193, C192, C197, C199, A194.

All codes

C194

C194 – Specific re-assessment

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

Ask a question

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(this code)
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
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 re-assessment is a service rendered by a specialist in Psychiatry for a non-emergency acute care hospital in-patient. It requires a full, relevant history of the presenting complaint and a 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 (, ). As per , this assessment includes the following specific elements: • A direct physical encounter with the patient including history taking and physical examination. • Inquiry carried out to arrive at an opinion as to the nature of the patient’s condition. • Performing any procedures during the same encounter unless separately listed in the Schedule. • 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 patient's representative. • Monitoring the patient's condition and intervening, when medically indicated, until the next insured service. This service is for an acute care hospital non-emergency in-patient, as indicated by the 'C' prefix ().

C193 C192 C197 C199 A194

As outlined on page , admission assessments are deemed to be a specific re-assessment or medical specific re-assessment under either of the following circumstances: 1. for those procedures prefixed with a “Z” or noted as an IOP, by a surgical specialist who has assessed the patient prior to admission in respect of the same illness; or 2. for those patients who have been assessed by a physician and subsequently admitted to the hospital for the same illness by the same physician.

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