All codes
C058
C058 – Additional subsequent visits - nursing home or home for the aged
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine assessment rendered in hospital by the consultant following the consultant’s first major assessment of the patient when the family physician remains the most responsible physician but the latter requests continued directive care by the consultant.
When to Use
- Use C058 when you are a specialist providing ongoing directive care for a hospital inpatient where the family physician remains the MRP.
- Use this code for routine follow-up assessments after your initial consultation (C005) has been completed and the patient remains in the hospital.
Common Pitfalls
- Billing C058 for nursing home patients instead of the correct W058 code will result in immediate rejection.
- Exceeding the limit of 4 visits in the first week or 2 visits per week thereafter will trigger automatic claim adjustments or rejections.
- Attempting to use C058 when you are the MRP for the patient's hospital admission is incorrect; use standard subsequent visit codes (C002) instead.
Billing Tips
- Ensure your documentation explicitly notes the request for continued directive care from the MRP to justify the concurrent care status.
Provider Fee$0.00
Specialist Fee$34.10
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
In-patient Hospital Service
Code Classes
Assessment
The family physician must remain the Most Responsible Physician (MRP)
The MRP must request continued directive care by the consultant
Must follow the consultant's first major assessment of the patient
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.