C122 – Subsequent visit by the MRP - day following hospital admission assessment
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit rendered by the physician identified as the patient's Most Responsible Physician (MRP) on the day following the hospital admission assessment.
When to Use
- Use C122 specifically for the first calendar day following the initial admission assessment (C121) to capture the MRP's follow-up review.
- Use C122 when you are the designated MRP and are conducting the mandatory physical examination and care plan adjustment on the day post-admission.
Common Pitfalls
- Billing C122 on the same day as C124 (discharge visit) will trigger an automatic rejection; ensure the visit date is strictly the day after admission.
- Attempting to bill C122 and C142 for the same admission is prohibited; choose the code that accurately reflects the patient's status (post-admission vs. post-ICU transfer).
- Billing C122 when you are not the MRP of record for that day will lead to audit recovery, as this code is exclusive to the physician responsible for the patient's overall care.
Billing Tips
- Always append the appropriate E083 or E084 premium to C122 if you are not receiving direct hospital remuneration, as these are specifically designed to supplement MRP visit fees.
- If you qualify for the Hospitalist Premium, ensure your billing software is configured to automatically apply the 17% increase to C122 to maximize the value of your MRP services.
Effective: April 1, 2026
A. Consultations and Visits
CONSULTATIONS AND VISITS
Hospital In-patient
Assessment
The physician must be the Most Responsible Physician (MRP) for the patient.
The visit must occur on the day following the hospital admission assessment.
Includes a direct physical encounter with the patient, history taking, and physical examination (as per ).
If a patient is transferred to another physician within the same hospital, C122 is only payable to the physician who was the MRP for the majority of the day.
If a patient is transferred to a different hospital, the day of transfer is deemed the day of admission for payment purposes (resetting the visit sequence).
C122 is a 'Qualifying Service' for the determination of eligibility for certain MRP-related premiums.
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