What is OHIP billing code C603?

C603 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C603 pay?

The current OHIP fee for C603 is $96.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C603 to OHIP?

C603 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C603 claims against the Schedule of Benefits rules before submission.

What codes are related to C603?

Codes related to C603 in the Schedule of Benefits include C605, C765, C600, C675, C606, C604, C601, A603.

All codes

C603

C603 – Medical specific assessment

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

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Levels of this visit

The C60x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C604 Medical specific re-assessment
A medical specific re-assessment rendered by a specialist in Cardiology (specialty 60) for a non-emergency acute care hospital in-patient.
$72.65
C601 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…
$84.10
C603 Medical specific assessment(this code)
A medical specific assessment rendered by a specialist in Cardiology (60) for a non-emergency hospital in-patient.
$96.70

Consultations

C606 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…
$105.25
C605 Consultation
A consultation is an assessment rendered in an acute care hospital for a non-emergency in-patient following a written request from a referring physician, nurse practitioner, or…
$188.45
C600 Comprehensive cardiology consultation
A comprehensive cardiology consultation for a non-emergency hospital in-patient, subject to the same conditions as A600.
$342.25

A medical specific assessment rendered by a specialist in Cardiology (60) for a non-emergency hospital in-patient. As per , this service requires a full history of the presenting complaint and a detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, exclude disease, and/or assess function. The 'C' prefix indicates the service is for non-emergency hospital in-patient services (, ). This service can function as an admission assessment if the physician has not previously assessed the patient for the same illness within 90 days ().

A full history of the presenting complaint and detailed examination of the affected part(s), region(s), or system(s) needed to make a diagnosis, and/or exclude disease, and/or assess function must be documented in the patient's medical record ().

All insured services require documentation in the medical record that establishes the service was provided, the service claimed is the service rendered, and the service was medically necessary ().

OHIP diagnostic codes: 428

C605 C765 C600 C675 C606 C604 C601 A603

See General Preamble 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 General Preamble to .

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