Billing Codes (Schedule of Benefits)

The Schedule of Benefits (SOB) is OHIP’s official list of billing codes, fees and rules. The SnapBill billing app has it built in and searchable, with your specialty’s codes first, so you can find a code and bill it in the same place.

Searching for Codes

In the billing app, choose Billing Codes in the sidebar. You can search by:

• Code — enter a billing code directly (e.g., A007, E502, C882)
• Description — search by keyword (e.g., “consultation”, “ECG”, “psychotherapy”)
• Semantic search — describe what you’re looking for in plain language (e.g., “assessment for a new patient”)

Filtering

Narrow your results using filters:

• Specialty — show codes available for your specialty (your specialty is highlighted by default)
• Category / Subcategory — browse by section (Consultations, Surgical Procedures, Diagnostic, etc.)
• Fee range — filter by minimum and maximum fee
• Code range — filter by billing code prefix

Code Details

Click on any code to expand its details:

Basic Information

• Code, title, and description
• Current fee (from the latest SOB update)
• Specialty restrictions — which specialties can bill this code

Rules and Requirements

• Age restrictions — minimum or maximum patient age
• Required fields — whether a diagnostic code, facility, or referring physician is needed
• Service location — where the service must be performed
• Bilateral rules — whether the code can be billed bilaterally

Relationships

• Add-on codes — codes that can be billed alongside this one
• Restricted combinations — codes that cannot be billed together on the same day
• Related codes — similar or alternative codes

Fee History

A chart showing how the fee has changed over time, based on historical SOB updates.

SOB Citations

Direct links to the relevant pages in the official SOB PDF, so you can read the original ministry text.

Favourite Codes

Click the star icon on any code to add it to your favourites. Favourite codes appear at the top of search results and are easily accessible for quick reference.

Using Codes in Claims

When creating a claim, the billing code field uses the same search engine as the Schedule of Benefits. You can search by code or description, and the fee is automatically populated.