What is OHIP billing code C314?

C314 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C314 pay?

The current OHIP fee for C314 is $75.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C314 to OHIP?

C314 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C314 claims against the Schedule of Benefits rules before submission.

What codes are related to C314?

Codes related to C314 in the Schedule of Benefits include A314, C313, C311, C312.

All codes

C314

C314 – Medical specific re-assessment

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

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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(this code)
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
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 medical specific re-assessment is a service rendered by a specialist for a non-emergency hospital in-patient. As defined in the Schedule on page , it requires a full, relevant history and physical examination of one or more systems. As outlined on page , this service may constitute a hospital admission assessment if the admitting physician has previously assessed the patient for the same presenting illness within 90 days of the admission assessment.

A full, relevant history and physical examination of one or more systems must be documented in the patient's medical record.

A314 C313 C311 C312

As outlined on page , admission assessments are deemed to be a specific re-assessment or medical specific re-assessment under either of the following circumstances: - for those procedures prefixed with a 'Z' or noted as an IOP, by a surgical specialist who has assessed the patient prior to admission in respect of the same illness; or - for those patients who have been assessed by a physician and subsequently admitted to the hospital for the same illness by the same physician.

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