What is OHIP billing code C203?

C203 is "Specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C203 pay?

The current OHIP fee for C203 is $62.65, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C203 to OHIP?

C203 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C203 claims against the Schedule of Benefits rules before submission.

What codes are related to C203?

Codes related to C203 in the Schedule of Benefits include A203, C205, C206, C204, C202, C207, C209, A204.

All codes

C203

C203 – Specific assessment

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

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Levels of this visit

The C20x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C204 Specific re-assessment
A 'C' prefix code for non-emergency acute care hospital in-patient services, as outlined in GP12.
$44.30
C203 Specific assessment(this code)
A specific assessment rendered for a non-emergency hospital in-patient by a specialist in Obstetrics and Gynaecology (20).
$62.65

Consultations

C206 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, following care rendered to the patient by another physician in…
$71.45
C205 Consultation
A consultation service rendered by an Obstetrics and Gynaecology specialist for a non-emergency hospital in-patient.
$134.25

A specific assessment rendered for a non-emergency hospital in-patient by a specialist in Obstetrics and Gynaecology (20). As per , the 'C' prefix designates this service for acute care hospital non-emergency in-patient settings. A specific assessment 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, as defined in .

A203 C205 C206 C204 C202 C207 C209 A204 A205 A935 C122 C123 C124 C126 C935

The collection of cervical cancer screening specimen(s) is included in the consultation, repeat consultation, general or specific assessment (or re-assessment), or routine post-natal visit when pelvic examination is normal part of the foregoing services. However, the add-on codes E430 or E431 can be billed in addition to these services when collection of cervical cancer screening specimen(s) is performed outside of a hospital or IHCSC.

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