C032 – Subsequent visit - first five weeks
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit is any routine assessment in a hospital following the hospital admission assessment for a patient under the care of a General Surgeon. This code is for visits rendered during the first five weeks of admission. As per , a subsequent visit is defined as any routine assessment in hospital following the hospital admission assessment. This includes: - Attendance at Surgery: If the referring physician is asked to be present by the patient or their representative but does not assist, the attendance constitutes a subsequent visit. - Multidisciplinary Care: When the patient's condition requires services from several physicians in different disciplines, each physician's visit constitutes a subsequent visit.
When to Use
- Use C032 for routine daily inpatient assessments performed by a General Surgeon within the first 35 days (5 weeks) following the initial admission assessment.
- Use C032 when attending a patient in the hospital at the request of the patient or their representative, even if no surgical procedure or active intervention is performed during that visit.
- Use C032 when providing multidisciplinary care for a patient already admitted under another service, provided the visit is a routine assessment and not an emergency consultation.
Common Pitfalls
- Billing C032 beyond the 35-day post-admission window, which requires switching to C037 or C039 to avoid automatic rejection.
- Attempting to bill C032 for emergency assessments on patients not under your care; these must be billed as 'A' prefix consultation or assessment codes.
- Claiming C032 on the same day as a surgical procedure where the visit is considered part of the global surgical fee, unless the visit is for a separate, unrelated condition.
Billing Tips
- If you are the Most Responsible Physician (MRP), always append the E083 premium to your C032 claim to receive a 30% increase, provided you do not receive separate hospital remuneration for these services.
- Ensure the admission date is accurately reflected in your billing software, as the transition from C032 to C037 is strictly calculated based on the patient's original hospital admission date.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Hospital and Institutional Consultations and Assessments
All insured services must be documented in appropriate records establishing that the service was provided, is the service submitted for payment, and was medically necessary.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.