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C052
C052 – Code not found
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine assessment in an acute care hospital following the hospital admission assessment, rendered by a Community Medicine specialist during the first five weeks of the patient's stay.
When to Use
- Use C052 for daily routine monitoring of an admitted patient by a Community Medicine specialist during the initial 35-day window following the admission date.
- Use C052 when assuming care of a patient referred from another physician, as the 5-week eligibility period resets to the date of your first assessment.
Common Pitfalls
- Billing C052 beyond the 35-day limit; ensure you transition to C057 for weeks 6 through 13 to avoid automatic rejections.
- Attempting to bill C052 on the same day as C122, C123, C124, or C126, which will result in a rejection for duplicate service types.
- Failing to account for the 'admission date' reset when accepting a transfer of care, leading to incorrect code selection based on the patient's total hospital stay rather than your involvement.
Billing Tips
- Always append the E083 premium if you are the Most Responsible Physician (MRP) to maximize the value of the C052 visit.
- Use E084 instead of E083 when performing the C052 visit on a weekend or statutory holiday to capture the higher premium.
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 Subsequent Visit
Code Classes
Assessment
Must be a routine assessment following the hospital admission assessment.
If the patient is referred from another physician, the date of the first assessment by the second physician is considered the 'admission date' for the purpose of determining the 5-week period.
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