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C121
C121 – Additional visits due to intercurrent illness
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
As per , after 5 weeks of hospitalization, any assessment in hospital required as a result of an acute intercurrent illness in excess of the weekly or monthly limits for subsequent visits constitutes C121. The weekly or monthly limits for subsequent visits do not apply to additional visits due to intercurrent illness.
The medical record must document the acute intercurrent illness that necessitated the additional visit, establishing medical necessity.
See in the General Preamble for payment rules.
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