All codes
C029
C029 – Subsequent visit - after thirteenth week
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Subsequent visit - after thirteenth week (maximum 6 per patient per month) (per visit)
When to Use
- Use C029 for routine daily assessments of a dermatology inpatient who has exceeded 13 weeks of continuous hospitalization.
- Use C029 when the patient has transitioned past the 13-week threshold, replacing the C027 code used during the 6th to 13th-week period.
Common Pitfalls
- Billing C029 more than 6 times per calendar month will trigger automatic rejections for exceeding the monthly limit.
- Failing to reset the 13-week clock when accepting a patient in transfer from another physician, leading to incorrect code usage.
- Attempting to use C029 for acute intercurrent illnesses; use C121 instead to bypass the monthly visit limit.
Billing Tips
- Always append the E083 premium to C029 if you are the Most Responsible Physician (MRP) and meet the remuneration criteria to maximize the claim value.
- If you see the patient on a weekend or holiday, use the E084 premium in conjunction with C029 to capture the higher weekend rate.
Provider Fee$0.00
Specialist Fee$34.10
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Hospital In-Patient
Code Classes
Assessment
The patient must have been hospitalized for more than thirteen weeks.
The service must be a routine assessment following the hospital admission assessment.
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