What is OHIP billing code C207?

C207 is "Subsequent visit - sixth to thirteenth week", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C207 pay?

The current OHIP fee for C207 is $31.00, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill C207 to OHIP?

C207 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C207 claims against the Schedule of Benefits rules before submission.

What codes are related to C207?

Codes related to C207 in the Schedule of Benefits include C202, C209, C121, C122, C123, C124, C142, C143.

All codes

C207

C207 – Subsequent visit - sixth to thirteenth week

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

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Represents a routine assessment for a non-emergency, acute care hospital in-patient provided by an Obstetrician/Gynaecologist. This service is applicable for visits occurring between the sixth and thirteenth week (inclusive) of the patient's hospitalization. As defined in , a subsequent visit is any routine assessment following the hospital admission assessment. It includes all specific elements of an assessment as outlined in , such as a direct physical encounter, history taking, physical examination, and arranging for follow-up care.

All insured services must be documented in appropriate records to establish that the service was provided, was medically necessary, and is the service claimed. A subsequent visit includes a direct physical encounter with the patient, taking a history, performing a physical examination, and appropriate record keeping.

C202 C209 C121 C122 C123 C124 C142 C143

Subsequent visits are limited based on the duration of hospitalization: one per patient, per day for the first 5 weeks after admission (C202), 3 visits per week from 6 to 13 weeks after admission (C207), and 6 visits per month after 13 weeks (C209). Services in excess of these limits are not eligible for payment.

After 5 weeks of hospitalization, any assessment in hospital required as a result of an acute intercurrent illness in excess of the weekly or monthly limits constitutes C121: 'additional visit due to intercurrent illness'. The weekly or monthly limits do not apply to C121.

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