What is OHIP billing code C614?

C614 is "Medical specific re-assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C614 pay?

The current OHIP fee for C614 is $72.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C614 to OHIP?

C614 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C614 claims against the Schedule of Benefits rules before submission.

What codes are related to C614?

Codes related to C614 in the Schedule of Benefits include A614, C613, C611, C612, C617, C619.

All codes

C614

C614 – Medical specific re-assessment

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

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Levels of this visit

The C61x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C614 Medical specific re-assessment(this code)
A medical specific re-assessment rendered by a specialist in Haematology (61) to a patient in an acute care hospital as a non-emergency in-patient service.
$72.00
C611 Complex medical specific re-assessment
A complex medical specific re-assessment is a re-assessment of a patient by a specialist because of the complexity, obscurity, or seriousness of the patient's condition.
$83.40
C613 Medical specific assessment
A medical specific assessment rendered by a specialist for a non-emergency hospital in-patient.
$95.95

Consultations

C616 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…
$118.05
C615 Consultation
This service is a consultation for a non-emergency acute care hospital in-patient (GP12, A117).
$192.90

A medical specific re-assessment rendered by a specialist in Haematology (61) to a patient in an acute care hospital as a non-emergency in-patient service. This service requires a full, relevant history and physical examination of one or more systems, as defined in the Schedule on page . This service is typically used for follow-up care in the hospital or may serve as a hospital admission assessment if the physician has previously assessed the patient for the same illness within the last 90 days, as per rules on page .

A full, relevant history and physical examination of one or more systems must be documented in the patient's medical record as per the definition of a medical specific re-assessment on .

As with all assessments, the service must include a direct physical encounter with the patient and all other specific elements of assessments as defined on .

A614 C613 C611 C612 C617 C619

See General Preamble for the definition and payment rules for Medical Specific Re-assessment. The limit of two per 12-month period does not apply to specific re-assessments rendered for hospital admissions, such as C614.

See General Preamble to for rules regarding non-emergency hospital in-patient services ('C' prefix codes).

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