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C112
C112 – Subsequent visit - first five weeks
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine assessment (subsequent visit) rendered to a hospital in-patient by a specialist in Critical Care Medicine during the first five weeks of the patient's stay or the physician's involvement.
When to Use
- Use C112 for daily routine assessments of a patient in the ICU during the first 35 days of your involvement as a Critical Care specialist.
- Use C112 when you are the primary attending physician in the ICU, provided you are not billing as a consultant under C118.
Common Pitfalls
- Billing C112 beyond the 35-day limit; you must switch to C117 for the 6th to 13th week of care.
- Attempting to bill C112 on the same day as a consultation code or other assessment codes, which will trigger a rejection.
- Incorrectly billing C112 when acting as a consultant; if the patient has an MRP and you are providing a consult, C118 is the mandatory code.
Billing Tips
- If you are the MRP, ensure you append the E083 premium to C112 on weekdays or E084 on weekends/holidays to maximize the visit value.
- Track the 35-day clock strictly from your first date of service to ensure timely transition to C117 and avoid manual audit adjustments.
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
Code Classes
Assessment
Routine assessment of the patient
Documentation of the visit in the medical record
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