What is OHIP billing code C283?

C283 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C283 pay?

The current OHIP fee for C283 is $82.50, effective 2025-06-01, per the Ontario Schedule of Benefits.

How do I bill C283 to OHIP?

C283 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C283 claims against the Schedule of Benefits rules before submission.

What codes are related to C283?

Codes related to C283 in the Schedule of Benefits include A283, C285, C286, C586, C585, C288, A285, A286.

All codes

C283

C283 – Medical specific assessment

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

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Levels of this visit

The C28x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C283 Medical specific assessment(this code)
A medical specific assessment is a service rendered by a specialist that requires a full history of the presenting complaint and a detailed examination of the affected part(s)…
$82.50

Consultations

C286 Limited consultation
A limited consultation is an assessment which is less demanding and, in terms of time, normally requires substantially less of the physician's time than a full consultation (C285).
$108.95
C285 Consultation
A consultation is an assessment rendered for a non-emergency hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon (in…
$163.00

A medical specific assessment is a service rendered by a specialist that requires a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, exclude disease, and/or assess function. The C prefix indicates this service is for a non-emergency in-patient in an acute care hospital. The service includes the specific elements of assessments as defined in .

A medical 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. ()

All assessments require a direct physical encounter with the patient including taking a patient history and performing a physical examination. ()

All insured services must be documented in appropriate records that establish the service was provided, is the service for which the account is submitted, and was medically necessary. ()

A283 C285 C286 C586 C585 C288 A285 A286 A586 A284 A585

See General Preamble to for rules regarding non-emergency hospital in-patient services.

For emergency calls and other special visits to in-patients, use General Listings (A283) and Premiums when applicable - see General Preamble to .

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