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C039 – Subsequent visit after thirteenth week

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

A routine assessment in hospital following the hospital admission assessment, rendered by a General Surgeon (specialty 03) to an acute care hospital in-patient after the thirteenth week of hospitalization.
The service must be a routine assessment (rounds).
If the physician is asked to be present at surgery but does not assist, the service constitutes a hospital subsequent visit (C039 if after 13 weeks).
Usage limits
Maximum 6 visits per patient per month.

Special visit premiums (travel, first person, additional person) are not eligible for payment for patients seen during rounds (C039).

Age-based fee premiums do not apply to subsequent visits.

C039 is not eligible for virtual care (video or telephone) as it is not listed in Appendix J.

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