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C072
C072 – 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 to a patient during the first five weeks of their hospital stay.
When to Use
- Use C072 for routine daily inpatient rounds occurring after the initial admission assessment and before the start of the sixth week of hospitalization.
- Use C072 when a referring physician attends a surgery performed by another physician, provided they are not acting as the surgical assistant.
- Use C072 for subsequent visits provided by a consultant who is not the Most Responsible Physician (MRP) during the first 35 days of the patient's stay.
Common Pitfalls
- Billing C072 on the same day as C122 or C123, which are reserved specifically for the MRP and carry higher fees.
- Continuing to bill C072 after the 35-day threshold, at which point you must transition to C077 for weeks 6 through 13.
- Attempting to bill C072 for emergency assessments; these must be billed using the 'A' prefix equivalent (e.g., A072) to reflect the urgent nature of the service.
Billing Tips
- Always append the E083 premium to C072 if you are the MRP and meet the remuneration requirements to increase the claim value.
- Ensure the date of service matches the hospital chart entry exactly, as the 5-week limit is strictly calculated based on the admission date.
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 Service
Code Classes
Assessment
Must be a routine assessment following the hospital admission assessment.
C077Subsequent visit - sixth to thirteenth week inclusiveC079Subsequent visit - after thirteenth weekC121Additional visit due to intercurrent illnessW072Subsequent visit - chronic care or convalescent hospitalC122Subsequent visit by the MRP – day following the hospital admission assessmentC123Subsequent visit by the MRP – second day following the hospital admission assessmentC124Subsequent visit by the MRP – day of dischargeC126day of discharge, medically complex patientC142first subsequent visit by the MRP following transfer from an Intensive Care AreaC143second subsequent visit by the MRP following transfer from an Intensive Care AreaC982Palliative care
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