What is OHIP billing code C474?

C474 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C474 pay?

The current OHIP fee for C474 is $72.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C474 to OHIP?

C474 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C474 claims against the Schedule of Benefits rules before submission.

What codes are related to C474?

Codes related to C474 in the Schedule of Benefits include A474, C473, C475, C476, C471, C575, C472, C477.

All codes

C474

C474 – Medical specific re-assessment

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

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Levels of this visit

The C47x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C474 Medical specific re-assessment(this code)
A medical specific re-assessment is a service rendered by a specialist for a hospital in-patient.
$72.80
C471 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…
$86.40
C473 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in a hospital in-patient setting.
$99.15

Consultations

C476 Repeat consultation
C476 is a repeat consultation provided by a specialist in Respiratory Disease (47).
$115.30
C475 Consultation
A consultation is an assessment rendered to a non-emergency hospital in-patient following a written request from a referring physician, nurse practitioner, or dental surgeon.
$185.80
C470 Comprehensive respiratory disease consultation
A comprehensive respiratory disease consultation for a patient in a non-emergency hospital in-patient setting.
$342.25

A medical specific re-assessment is a service rendered by a specialist for a hospital in-patient. As defined in the Schedule of Benefits, it requires a full, relevant history and physical examination of one or more systems. The 'C' prefix designates this service for non-emergency hospital in-patients. This service may also be billed as an admission assessment for a patient who has been assessed by the physician for the same illness within the previous 90 days (see ).

A474 C473 C475 C476 C471 C575 C472 C477 C479 C470 C570

See 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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