What is OHIP billing code C441?

C441 is "Complex medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C441 pay?

The current OHIP fee for C441 is $83.40, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C441 to OHIP?

C441 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C441 claims against the Schedule of Benefits rules before submission.

What codes are related to C441?

Codes related to C441 in the Schedule of Benefits include A441, C443, C444.

All codes

C441

C441 – Complex medical specific re-assessment

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

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Levels of this visit

The C44x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C444 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
C441 Complex medical specific re-assessment(this code)
A complex medical specific re-assessment is a re-assessment of a patient by a Medical Oncology specialist because of the complexity, obscurity, or seriousness of the patient's…
$83.40
C443 Medical specific assessment
A medical specific assessment for a non-emergency hospital in-patient, rendered by a specialist in Medical Oncology.
$95.95

Consultations

C446 Repeat consultation
A repeat consultation is an additional consultation rendered by the same consultant, in respect of the same presenting problem, following care rendered to the patient by another…
$115.95
C445 Consultation
A consultation is an assessment rendered by a specialist in Medical Oncology for a non-emergency hospital in-patient, following a written request from a referring physician, nurse…
$183.40

A complex medical specific re-assessment is a re-assessment of a patient by a Medical Oncology specialist because of the complexity, obscurity, or seriousness of the patient's condition and includes all the requirements of a medical specific re-assessment. As per , the physician must report his/her findings, opinions, or recommendations in writing to the patient's primary care physician or the amount payable for the service will be adjusted to a lesser assessment fee. As per , this service includes the following specific elements: a direct physical encounter with the patient including taking a patient history and performing a physical examination; other inquiry to arrive at an opinion as to the nature of the patient's condition; performing any procedures during the same encounter unless separately billable; making arrangements for any related assessments, procedures or therapy, and/or interpreting results; making arrangements for follow-up care; discussion with, and providing advice and information to the patient or representative; and, when medically indicated, monitoring the condition of the patient and intervening, until the next insured service is provided. This code applies to non-emergency hospital in-patient services.

The physician must report his/her findings, opinions, or recommendations in writing to the patient's primary care physician.

As per , all insured services must be documented in appropriate records to establish that: 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.

A441 C443 C444

See to for rules on Non-Emergency Hospital In-patient Services.

For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see to .

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