All codes
C152
C152 – Subsequent visits - first 4 per patient per month
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Subsequent visits - first five weeks (per visit) for hospital in-patients.
When to Use
- Use C152 for routine daily progress assessments of an in-patient during the first five weeks of admission when you are not the Most Responsible Physician (MRP).
- Use C152 for the MRP when the visit occurs after the second day post-admission but before the day of discharge, provided it does not fall on a weekend or holiday.
Common Pitfalls
- Billing C152 on the day of discharge instead of the required C124, which results in a rejection or audit recovery.
- Billing C152 on the same day as C122 or C123, which are the mandatory codes for the first two days following an admission assessment.
- Failing to transition to C157 or C159 once the patient's stay exceeds the five-week threshold.
Billing Tips
- Always append the E083 premium to C152 if you are the MRP to capture the additional value for your clinical oversight.
- If you are the MRP and the visit falls on a weekend or holiday, use C152 with the E084 premium instead of E083.
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 (Acute)
Code Classes
Consultation/Visit
The service is a routine assessment following the patient's admission to a hospital.
Limited to one per patient per day per physician.
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