What is OHIP billing code C204?

C204 is "Specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C204 pay?

The current OHIP fee for C204 is $44.30, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C204 to OHIP?

C204 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C204 claims against the Schedule of Benefits rules before submission.

What codes are related to C204?

Codes related to C204 in the Schedule of Benefits include C205, C935, C206, C203, C202, C207, C209, C122.

All codes

C204

C204 – Specific re-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(this code)
A 'C' prefix code for non-emergency acute care hospital in-patient services, as outlined in GP12.
$44.30
C203 Specific assessment
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 'C' prefix code for non-emergency acute care hospital in-patient services, as outlined in . A specific re-assessment is a service rendered by a specialist that requires a full, relevant history and physical examination of one or more systems, as defined in . This code is to be used by specialists in Obstetrics and Gynaecology (20). Note: The collection of cervical cancer screening specimen(s) is included in the specific re-assessment when a pelvic examination is a normal part of the service, as per page .

C205 C935 C206 C203 C202 C207 C209 C122 C123 C124 C142 C143 C121

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