What is OHIP billing code C720?

C720 is "Comprehensive occupational medicine consultation", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C720 pay?

The current OHIP fee for C720 is $342.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C720 to OHIP?

C720 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C720 claims against the Schedule of Benefits rules before submission.

What codes are related to C720?

Codes related to C720 in the Schedule of Benefits include A720, W720, C725, C726, A720, W720, C725, C726.

All codes

C720

C720 – Comprehensive occupational medicine consultation

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

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Levels of this visit

The C72x codes in this part of the Schedule of Benefits, lowest fee first. Bill the level the history and examination support.

Assessments

C724 Medical specific re-assessment
Medical specific re-assessment (Occupational Medicine)
$72.00
C721 Complex medical specific re-assessment
A re-assessment of a patient because of the complexity, obscurity, or seriousness of the patient’s condition.
$83.40
C723 Medical specific assessment
A medical specific assessment is a service rendered by a specialist in Occupational Medicine to a hospital in-patient.
$95.95

Consultations

C726 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…
$123.10
C725 Consultation
A consultation rendered to a hospital in-patient by a specialist in occupational medicine following a written request from a referring physician, nurse practitioner, or dental…
$192.85
C720 Comprehensive occupational medicine consultation(this code)
A consultation rendered by a specialist in occupational medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact…
$342.25

A consultation rendered by a specialist in occupational medicine who provides all the appropriate elements of a consultation and spends a minimum of 75 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention to the patient. This code is specifically for non-emergency hospital in-patient services.

Referral requiredFrom: Physician, NursePractitioner, DentalSurgeon

A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician’s medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.

The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.

The written request sets out the information relevant to the referral and specifies the service(s) required.

The consultant must provide a written report (including findings, opinions, and recommendations) to the referring provider.

Start and stop times must be recorded in the patient’s permanent medical record.

Usage limits

Limited to one service per two consecutive 12-month periods for the same diagnosis, unless it is a repeat consultation or rendered in a hospital/ED setting between 12 and 24 months after the first. Limited to one service every 12 months for a clearly defined unrelated diagnosis.

A720Comprehensive occupational medicine consultation (Office/Out-patient)W720Comprehensive occupational medicine consultation (Long-term care)C725Occupational medicine consultation (Hospital in-patient)C726Occupational medicine repeat consultation (Hospital in-patient)A720 W720 C725 C726 C925 C723 C724 C721

C720 is subject to the same conditions as A720.

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