All codes
C019
C019 – Subsequent visit by anaesthetist to patient in hospital or nursing home, per day
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Subsequent visit by anaesthetist to patient in hospital or nursing home, per day, rendered after the thirteenth week of care.
When to Use
- Use C019 for routine daily assessments of a patient who remains hospitalized under your care beyond the 13-week threshold established by C012 and C017.
- Bill C019 when a patient requires a follow-up visit for chronic pain management or complex symptom control while admitted in a long-term care facility or hospital after the 13-week period.
Common Pitfalls
- Billing C019 on the same day as an anaesthesia procedural fee (suffix C) will trigger an automatic rejection, as post-operative follow-up is bundled into the procedural fee.
- Exceeding the maximum of 6 visits per month without documenting an acute intercurrent illness will lead to claim rejection; use C121 only when the monthly limit is exhausted due to a new, distinct medical issue.
Billing Tips
- Ensure your billing software tracks the 13-week timeline from the date of the first assessment to transition seamlessly from C017 to C019 without manual calculation errors.
Provider Fee$0.00
Specialist Fee$31.00
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Subsequent Visit
Code Classes
Assessment
A subsequent visit is any routine assessment in hospital following the hospital admission assessment.
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