What is OHIP billing code C311?

C311 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C311 pay?

The current OHIP fee for C311 is $82.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C311 to OHIP?

C311 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C311 claims against the Schedule of Benefits rules before submission.

What codes are related to C311?

Codes related to C311 in the Schedule of Benefits include C313, C314, C122, C123, C124, C142, C143, C121.

All codes

C311

C311 – Complex medical specific re-assessment

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

Ask a question

Levels of this visit

The C31x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C314 Medical specific re-assessment
A medical specific re-assessment is a service rendered by a specialist for a non-emergency hospital in-patient.
$75.90
C311 Complex medical specific re-assessment(this code)
A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition and includes all the…
$82.75
C313 Medical specific assessment
A medical specific assessment for a non-emergency hospital in-patient, as indicated by the 'C' prefix.
$86.40

Consultations

C316 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant for the same presenting problem, following care provided to the patient by another physician in…
$106.60
C315 Consultation
A consultation is an assessment rendered by a specialist in Physical Medicine & Rehabilitation for a non-emergency hospital in-patient, following a written request from a…
$233.65

A complex medical specific re-assessment is a re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient's condition and includes all the requirements of a medical specific re-assessment. A medical specific re-assessment requires a full, relevant history and physical examination of one or more systems. The physician must report his/her findings, opinions, or recommendations in writing to the patient's primary care physician or the amount payable for the service will be adjusted to a lesser assessment fee. The 'C' prefix indicates this service is for non-emergency hospital in-patients.

The physician must report his/her findings, opinions, or recommendations in writing to the patient's primary care physician.

As a re-assessment, the medical record must document a full, relevant history and physical examination of one or more systems.

C313 C314 C122 C123 C124 C142 C143 C121

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

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in