C062 – Subsequent visit - first five weeks
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine assessment in hospital following the hospital admission assessment, rendered by an Orthopaedic Surgeon during the first five weeks of the patient's hospital stay.
When to Use
- Use C062 for daily routine rounds on an orthopaedic inpatient during the first 35 days following their admission or the date of your initial referral assessment.
- Use C062 when you are requested to attend a surgery by the referring physician but do not act as the surgical assistant, as this attendance counts as a subsequent visit.
Common Pitfalls
- Billing C062 beyond the 35-day limit; ensure you transition to C067 for visits occurring between the 6th and 13th weeks.
- Attempting to bill C062 alongside C122, C123, or C124, which are explicitly restricted and will result in claim rejection.
- Billing C062 for virtual care services, as this code is not eligible for virtual care billing under Appendix J.
Billing Tips
- If a patient is transferred to your care, your first assessment date resets the 5-week clock for C062, regardless of how long the patient was previously hospitalized under another physician.
- Always verify the patient's admission date in the hospital record to ensure you are within the 5-week window before submitting C062 to avoid audit discrepancies.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Hospital Subsequent Visit
Assessment
The service must be a routine assessment in hospital following the hospital admission assessment.
After 5 weeks of hospitalization, subsequent visits must be billed as C067 (6-13 weeks) or C069 (after 13 weeks).
If an acute intercurrent illness requires visits in excess of the daily limit after the first 5 weeks, C121 may be billed.
C062 is not eligible for virtual care billing (not listed in Appendix J).
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