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C126
C126 – Day of discharge, medically complex patient
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit rendered by the Most Responsible Physician (MRP) on the day of discharge for a medically complex patient. In addition to all elements and payment rules of the subsequent visit by the MRP – day of discharge (), C126 is only eligible for payment when the patient has been admitted to hospital for a minimum of 7 consecutive days and has a minimum of three diagnoses that contributed to the length of stay. The minimum time dedicated to C126 is 45 minutes, exclusive of time spent rendering any other separately billable intervention and personally rendered by the physician, or the service is adjusted to a lesser paying fee. Only one of C124 or C126 is eligible for payment per hospital admission.
Minimum 45 minutes of dedicated time personally rendered by the physician.
Completion of discharge summary within 48 hours of discharge.
Discharge summary must include: reason for admission, procedures performed, discharge diagnosis, and medications on discharge.
Arranging for patient follow-up and prescribing discharge medications.
C124Subsequent visit by the MRP – day of dischargeA13: Terms and conditions for MRP visitsC122Subsequent visit by the MRP – day following the hospital admission assessmentC123Subsequent visit by the MRP – second day following the hospital admission assessmentC142First subsequent visit by the MRP following transfer from an Intensive Care AreaC143Second subsequent visit by the MRP following transfer from an Intensive Care AreaE083Subsequent visit by the MRP premiumE084Saturday, Sunday or Holiday subsequent visit by the MRP premium
C126 is a qualifying service for the 17% Hospitalist Premium ().
In case of conflicting claims, the physician to whom the patient is rostered may receive payment.
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