All codes
C139
C139 – Subsequent visit - after thirteenth week
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A routine subsequent hospital in-patient visit rendered by an Internal Medicine specialist to a patient who has been hospitalized for more than thirteen weeks.
When to Use
- Use for routine follow-up assessments of an Internal Medicine patient who has surpassed the 13-week threshold of their current hospital admission.
- Use when attending a surgery as an observer in the patient's interest, provided no other surgical assist or procedure code is claimed for that encounter.
- Use as the base code for the MRP premium (E083/E084) when managing long-term stable in-patients beyond the 13-week mark.
Common Pitfalls
- Billing C139 for patients in designated palliative care beds, which requires the use of C982 instead.
- Exceeding the maximum limit of 6 visits per month, which often triggers automated rejections unless an intercurrent illness justifies using C121.
- Failing to account for the original hospital admission date when calculating the 13-week threshold, especially after a transfer between services or facilities.
Billing Tips
- Always append the E083 MRP premium to C139 if you are the Most Responsible Physician to maximize the value of these long-term visits.
- If a patient develops an acute intercurrent illness requiring more than 6 visits in a month, bill the additional visits as C121 rather than attempting to force them into C139.
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 (Non-Emergency)
Code Classes
Assessment
The service must be rendered after the patient has been in the hospital for more than 13 weeks.
The visit must be a routine assessment following the hospital admission assessment.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.