All codes
C010
C010 – Supportive care
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine visit rendered in hospital by a family physician who is not actively treating the case, provided for the purposes of liaison or reassurance at the request of the patient or their family.
When to Use
- Use C010 when you are a family physician visiting a patient admitted under a specialist's care solely to provide emotional support or act as a liaison for the family.
- Use C010 when the patient or family specifically requests your presence for reassurance, provided you are not the Most Responsible Physician (MRP) or actively managing the patient's medical condition.
Common Pitfalls
- Billing C010 while also billing C008 (Concurrent Care) for the same patient will trigger a rejection, as both codes are intended for non-MRP physicians but have different clinical requirements.
- Attempting to claim age-based premiums (e.g., K013) or hospitalist premiums with C010 will result in automatic rejection, as this code is explicitly excluded from these enhancements.
- Exceeding the frequency limit of 4 visits in the first week or 2 visits per week thereafter will lead to automatic payment adjustments or audit flags.
Billing Tips
- Ensure your clinical notes explicitly state that the visit was requested by the patient or family for 'liaison or reassurance' to justify the use of C010 over a standard subsequent visit code.
- Avoid using C010 if you are providing active medical management, as C008 is the appropriate code for concurrent care when you are actively treating a specific condition.
Provider Fee$40.05
Effective: April 1, 2026
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Hospital Visit
Code Classes
Consultation
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