What is OHIP billing code C414?

C414 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C414 pay?

The current OHIP fee for C414 is $72.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C414 to OHIP?

C414 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C414 claims against the Schedule of Benefits rules before submission.

What codes are related to C414?

Codes related to C414 in the Schedule of Benefits include A414.

All codes

C414

C414 – Medical specific re-assessment

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

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Levels of this visit

The C41x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C414 Medical specific re-assessment(this code)
A medical specific re-assessment is a service rendered by a specialist and requires a full, relevant history and physical examination of one or more systems.
$72.00
C411 Complex medical specific re-assessment
Complex medical specific re-assessment for a non-emergency hospital in-patient, listed under Gastroenterology (41) Non-Emergency Hospital In-Patient Services.
$83.40
C413 Medical specific assessment
C413 is a medical specific assessment rendered by a specialist in Gastroenterology (specialty 41) for a non-emergency acute care hospital in-patient, as designated by the 'C'…
$95.95

Consultations

C416 Repeat consultation
Repeat consultation for a non-emergency hospital in-patient, listed under Gastroenterology (41) Non-Emergency Hospital In-Patient Services.
$106.90
C415 Consultation
A consultation is an assessment rendered by a specialist in Gastroenterology for a hospital in-patient following a written request from a referring physician, nurse practitioner…
$159.45

A medical specific re-assessment is a service rendered by a specialist and requires a full, relevant history and physical examination of one or more systems. As a C prefix code, this service is for a non-emergency in-patient in an acute care hospital. An admission assessment is deemed to be a medical specific re-assessment if the admitting physician has previously assessed the patient for the same presenting illness within 90 days of the admission assessment, 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 (, ).

A full, relevant history and physical examination of one or more systems must be documented.

The medical record must contain all common elements of an insured service as per - and specific elements of assessments as per .

Usage limits

[2, "12_months", "per_patient_per_physician", "Limited to two per patient per physician per 12 month period, except for re-assessments rendered for hospital admissions. Services in excess of this limit will be adjusted to a lesser assessment fee."]

A414

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