What is OHIP billing code C343?

C343 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C343 pay?

The current OHIP fee for C343 is $95.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C343 to OHIP?

C343 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C343 claims against the Schedule of Benefits rules before submission.

What codes are related to C343?

Codes related to C343 in the Schedule of Benefits include A343, A345, C345, A765, C765, A745, C745, A346.

All codes

C343

C343 – Medical specific assessment

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

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Levels of this visit

The C34x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C344 Medical specific re-assessment
A medical specific re-assessment (C344) is a service rendered by a specialist in Radiation Oncology in a non-emergency, acute care hospital in-patient setting.
$72.00
C341 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…
$83.40
C343 Medical specific assessment(this code)
A medical specific assessment rendered to a non-emergency in-patient of an acute care hospital.
$95.95

Consultations

C346 Repeat consultation
A repeat consultation is an additional assessment rendered by the same consultant in respect of the same presenting problem, following care rendered to the patient by another…
$114.90
C345 Consultation
A consultation is an assessment of a non-emergency hospital in-patient rendered by a specialist in Radiation Oncology (34) following a written request from a referring physician…
$178.75

A medical specific assessment rendered to a non-emergency in-patient of an acute care hospital. As defined in the Schedule of Benefits (), this service is rendered by a specialist and 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. The 'C' prefix designates this service for non-emergency in-patient services in an acute care hospital ().

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 must be documented. ()

The medical record must establish that an insured service was provided, the service claimed is the service that was rendered, and the service was medically necessary. ()

A343 A345 C345 A765 C765 A745 C745 A346 C346 A340 C344 A341 C341 A348

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 .

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