C007 – Subsequent visit - sixth to thirteenth week inclusive
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine assessment in hospital for a patient who has been admitted for 6 to 13 weeks inclusive.
When to Use
- Use for routine daily hospital rounds for patients between day 36 and day 91 of their continuous admission.
- Use when assuming care of a patient transferred from another physician, where the 'admission date' for your billing is the date of your first assessment, provided that date falls within the 6-13 week window of your involvement.
Common Pitfalls
- Billing C007 after the 91st day of admission; once the patient exceeds 13 weeks, you must switch to C009.
- Exceeding the weekly limit of 3 visits per patient; any additional visits required for acute changes must be billed using C121, not by repeating C007.
- Billing C007 on the day of discharge; this is rejected as it conflicts with discharge codes C124 or C126.
Billing Tips
- Always append E083 (weekdays) or E084 (weekends/holidays) if you are the Most Responsible Physician to maximize the value of the C007 encounter.
- Ensure your billing software calculates the 6-13 week window based on the specific admission date for your service, rather than the patient's original hospital admission date if you are a consultant.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Hospital In-Patient
Assessment
Patient must have been in hospital for 6 to 13 weeks
If the physician is taking over care (transfer), the week count is based on the actual admission date
If the physician is a new consultant (referral), the week count starts from their first assessment date
C007 is a qualifying service for the 17% Hospitalist Premium ()
Special visit premiums are not eligible if the visit is rendered during routine rounds
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