What is OHIP billing code C354?

C354 is "Specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C354 pay?

The current OHIP fee for C354 is $29.35, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C354 to OHIP?

C354 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C354 claims against the Schedule of Benefits rules before submission.

What codes are related to C354?

Codes related to C354 in the Schedule of Benefits include A355, A935, A356, A353, A354, C355, C935, C356.

All codes

C354

C354 – Specific re-assessment

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

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Levels of this visit

The C35x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C354 Specific re-assessment(this code)
C354 is a specific re-assessment for a non-emergency, acute care hospital in-patient, as indicated by the 'C' prefix (GP12:26).
$29.35
C353 Specific assessment
C353 is for a specific assessment rendered by a specialist in Urology (35) to a non-emergency hospital in-patient.
$51.45

Consultations

C356 Repeat consultation
A hospital in-patient repeat consultation by a urologist, which is an additional consultation rendered by the same consultant for the same presenting problem.
$64.90
C355 Consultation
A consultation rendered by a specialist in Urology for a non-emergency hospital in-patient.
$93.15

C354 is a specific re-assessment for a non-emergency, acute care hospital in-patient, as indicated by the 'C' prefix (). According to the Schedule of Benefits, a specific re-assessment is a service rendered by a specialist that requires a full, relevant history and physical examination of one or more systems (). This service includes all the specific elements of an assessment as defined in , such as: • A direct physical encounter including patient history and physical examination. • Making arrangements for related assessments, procedures, or therapy. • Discussion with and providing advice to the patient or their representative. • Monitoring the patient's condition and intervening when medically indicated.

Requires a full, relevant history and physical examination of one or more systems.

A355 A935 A356 A353 A354 C355 C935 C356 C353 C352 C357 C359 C122 C123 C124 C142 C143 C121 C358 C982

For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums when applicable (see to ).

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