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C012
C012 – Subsequent Visit - First Five Weeks
OHIP Surgical Procedures Code — Anaesthesia (01) · Schedule of Benefits
A routine assessment rendered to a hospital in-patient following the hospital admission assessment, during the first five weeks of the patient's stay.
When to Use
- Use C012 for routine daily follow-up assessments of an anaesthesia patient during the first 35 days of their hospital admission.
- Use C012 when providing routine post-operative management for an anaesthesia patient who remains an in-patient within the five-week window.
Common Pitfalls
- Billing C012 beyond the 35-day limit from the admission date, which triggers automatic rejections; transition to C017 for visits occurring in weeks 6 through 13.
- Attempting to bill C012 alongside other assessment codes on the same day by the same physician, which will result in a rejection for duplicate service.
- Incorrectly billing C012 for concurrent care; if you are not the primary anaesthesia provider managing the patient, use C018 instead.
Billing Tips
- If you are the Most Responsible Physician (MRP) for the patient, ensure you append E083 to C012 to capture the additional premium.
- For non-elective, urgent assessments outside of routine rounds, remember to attach the appropriate C960-C964 or C990-C997 premiums to the C012 claim.
Provider Fee$0.00
Specialist Fee$31.00
Effective: June 1, 2025
Category
Consultations and Visits
Subcategory
Anaesthesia (01)
Service Type
Hospital In-patient
Code Classes
Consultations and Visits
Special visit premiums are not eligible for patients seen during routine rounds.
Anaesthesia (01) is not eligible for the Saturday/Sunday/Holiday MRP premium (E084).
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