C132 – 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 during the first five weeks of the patient's hospitalization.
When to Use
- Use C132 for daily routine hospital visits occurring between the 3rd day of admission and the end of the 5th week, provided you are not the MRP billing C122 or C123.
- Use C132 when acting as a consulting physician providing ongoing daily care for a patient after your initial consultation has been completed.
- Use C132 when you are requested to attend a surgery by the referring physician but do not act as the surgical assistant.
Common Pitfalls
- Billing C132 on the day of discharge instead of the appropriate discharge codes C124 or C126, which will result in automatic rejection.
- Continuing to bill C132 beyond the 5-week threshold; you must switch to C137 for weeks 6-13 and C139 thereafter to avoid payment recovery.
- Billing C132 on the same day as a consultation or major assessment by the same physician, as these services are inclusive of the visit.
Billing Tips
- If you are the MRP, ensure you transition from C122 (Day 1) and C123 (Day 2) to C132 starting on Day 3 to maximize your daily visit revenue.
- Always append the E083 premium if you are the MRP, as C132 is an eligible service for this additional fee.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Hospital In-Patient Services
Assessment
The service must be a routine assessment following the hospital admission assessment.
The physician must be in the hospital and assessing their own patient or a patient transferred to their care.
Attendance at surgery: If the referring physician is asked to be present but does not assist, the attendance constitutes a hospital subsequent visit (C132).
Multidisciplinary care: When complexity requires several physicians in different disciplines, each physician's visit constitutes a subsequent visit.
After 5 weeks, subsequent visits must be billed using C137 (weeks 6-13) or C139 (after 13 weeks).
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