All codes
C027
C027 – Subsequent visit - sixth to thirteenth week
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine assessment in hospital following the hospital admission assessment, rendered during the sixth to thirteenth week of hospitalization.
When to Use
- Use C027 for routine daily rounding on an inpatient who has been hospitalized for between 42 and 91 days.
- Use C027 when transitioning from C022 once the patient crosses the 5-week threshold of their current hospital admission.
Common Pitfalls
- Billing C027 beyond the 13th week of hospitalization, at which point you must switch to C029.
- Exceeding the maximum of 3 visits per week for C027; additional visits require specific documentation of intercurrent illness or the use of C121.
- Failing to account for the admission date reset if a patient is transferred to your care, which may incorrectly place the patient in the C027 window instead of C022.
Billing Tips
- Always append the E083 premium to C027 if you are the Most Responsible Physician (MRP) and meet the remuneration requirements to maximize the visit value.
- If a patient develops an acute condition requiring more than 3 visits per week during this period, bill the extra visits using C121 to bypass the weekly limit of C027.
Provider Fee$0.00
Specialist Fee$34.10
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Non-emergency hospital in-patient services
Code Classes
Assessment
Age-based fee premiums do not apply.
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