What is OHIP billing code C484?

C484 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C484 pay?

The current OHIP fee for C484 is $72.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C484 to OHIP?

C484 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C484 claims against the Schedule of Benefits rules before submission.

What codes are related to C484?

Codes related to C484 in the Schedule of Benefits include A484, C483, C481, C482, C487, C489.

All codes

C484

C484 – Medical specific re-assessment

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

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Levels of this visit

The C48x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C484 Medical specific re-assessment(this code)
A medical specific re-assessment is a service rendered by a specialist to a non-emergency hospital in-patient.
$72.00
C481 Complex medical specific re-assessment
A complex medical specific re-assessment rendered by a Rheumatologist for a non-emergency hospital in-patient.
$83.40
C483 Medical specific assessment
A medical specific assessment is a service rendered by a specialist for a non-emergency hospital in-patient.
$95.95
C480 Complex rheumatology assessment
A complex rheumatology assessment rendered to a non-emergency hospital in-patient by a specialist in Rheumatology.
$112.00

Consultations

C486 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…
$124.50
C485 Consultation
A consultation is an assessment rendered following a written request from a referring physician, nurse practitioner or dental surgeon in connection with an insured dental…
$201.95

A medical specific re-assessment is a service rendered by a specialist to a non-emergency hospital in-patient. As defined in the Schedule of Benefits on page , this service requires a full, relevant history and physical examination of one or more systems. It is distinguished from a medical specific assessment by not requiring a complete new history. An admission assessment may be claimed as a medical specific re-assessment if the admitting physician has previously assessed the patient for the same illness within 90 days of admission ().

As per , an appropriate medical record must be maintained to establish that the service was medically necessary and rendered.

The medical record must document a full, relevant history and physical examination of one or more systems, as required for a medical specific re-assessment ().

A484 C483 C481 C482 C487 C489

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