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C142
C142 – First subsequent visit by the MRP following transfer from an Intensive Care Area
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
First subsequent visit by the MRP following patient's transfer from an Intensive Care Area (including Neonatal Intensive Care) where the patient was receiving Critical Care, Ventilatory Support, Comprehensive Care or Neonatal Intensive Care services immediately prior to the time of the transfer to an acute care hospital bed in the same hospital.
When to Use
- Use C142 for the first visit by the MRP immediately following a patient's transfer from an ICU or NICU to an acute care ward, provided the patient required active critical care or ventilatory support.
- Use this code when assuming care of a patient who has been stepped down from a high-acuity unit to a general ward, specifically to capture the increased complexity of the transition.
Common Pitfalls
- Billing C142 when the patient was in the ICU for observation or monitoring purposes only, which is explicitly excluded by the Schedule of Benefits.
- Attempting to bill C142 when you were the physician who provided the critical care services immediately prior to the transfer, as the code is not payable to the same physician.
- Submitting C142 in the same admission as C122, as the billing rules strictly prohibit claiming both for the same patient during one hospital stay.
Billing Tips
- Ensure you document the specific critical care services (e.g., ventilatory support, comprehensive care) provided in the ICU to justify the use of C142 over a standard subsequent visit code.
- If you are eligible, apply the E083 or E084 premium to C142 to maximize the value of this high-complexity visit, provided you meet the hospital remuneration restrictions.
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