What is OHIP billing code C416?

C416 is "Repeat consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C416 pay?

The current OHIP fee for C416 is $106.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C416 to OHIP?

C416 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C416 claims against the Schedule of Benefits rules before submission.

All codes

C416

C416 – Repeat consultation

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
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(this code)
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

Repeat consultation for a non-emergency hospital in-patient, listed under Gastroenterology (41) Non-Emergency Hospital In-Patient Services. See General Preamble to .

All insured services must be documented in appropriate records that establish: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.

Specific re-assessment and medical specific re-assessment are services rendered by specialists and require a full, relevant history and physical examination of one or more systems.

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