What is OHIP billing code C250?

C250 is "Retinopathy of prematurity assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C250 pay?

The current OHIP fee for C250 is $125.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C250 to OHIP?

C250 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C250 claims against the Schedule of Benefits rules before submission.

What codes are related to C250?

Codes related to C250 in the Schedule of Benefits include A250.

All codes

C250

C250 – Retinopathy of prematurity assessment

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

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Levels of this visit

The C25x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C250 Retinopathy of prematurity assessment(this code)
This service is an assessment for retinopathy of prematurity for a non-emergency hospital in-patient, rendered by an ophthalmologist (specialty 23).
$125.80

Consultations

C255 Limited consultation
A limited consultation is a consultation which is less demanding and, in terms of time, normally requires substantially less of the physician's time than the full consultation.
$110.15

This service is an assessment for retinopathy of prematurity for a non-emergency hospital in-patient, rendered by an ophthalmologist (specialty 23). As a 'C' prefix code, it is intended for use in an acute care hospital for in-patient services as described on . The service is subject to the same conditions as A250. As an assessment, it includes all specific elements outlined in , such as a direct physical encounter, history taking, examination, and arranging follow-up care.

As an assessment, the service must be documented in appropriate records, establishing that the service was provided, is the service for which the account is submitted, and was medically necessary, as per .

The service is for initial assessment or follow-up assessment(s) of a patient with ROP who is either: a. 9 months of age or younger; or b. aged 10 months to 16 years with minimum stage 3 ROP disease.

Age

9 months of age or younger OR aged 10 months to 16 years with minimum stage 3 ROP disease

Usage limits

OR([1, "per_encounter", "per_patient", "Subject to the same conditions as A250"], [1, "per_encounter", "per_physician", "Subject to the same conditions as A250"])

A250

Retinopathy of prematurity assessment - subject to the same conditions as A250.

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