What is OHIP billing code C723?

C723 is "Medical specific assessment", an OHIP Consultations and Visits code from the Ontario Schedule of Benefits (Physician Services).

How much does C723 pay?

The current OHIP fee for C723 is $95.95, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill C723 to OHIP?

C723 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C723 claims against the Schedule of Benefits rules before submission.

What codes are related to C723?

Codes related to C723 in the Schedule of Benefits include A723, C724, C721, C725, C720, C722.

All codes

C723

C723 – Medical specific assessment

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(this code)
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
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 medical specific assessment is a service rendered by a specialist in Occupational Medicine to a hospital in-patient. It 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, and/or exclude disease, and/or assess function.

Full history of the presenting complaint.

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.

Usage limits

Limited to one per patient per physician per 12-month period. The limit is increased to two if: (1) the patient presents a second time with a clearly different and unrelated diagnosis, or (2) at least 90 days have elapsed since the last specific assessment and the second assessment is a hospital admission assessment.

A723Medical specific assessment (Outpatient)C724Medical specific re-assessment C721Complex medical specific re-assessment C725Consultation (Hospital In-Patient)C720Comprehensive occupational medicine consultation (Hospital In-Patient)C722Subsequent visit, first five weeks

C723 constitutes the admission assessment if the specialist assesses the patient in the ED/OPD and subsequently admits them, provided no prior assessment for the same illness occurred within 90 days.

Age-based fee premiums do not apply to this code.

Chronic Disease Assessment Premium (E078) is not payable for hospital in-patients.

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