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C172
C172 – Subsequent visit - first five weeks
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit is a routine assessment of an acute care hospital in-patient, rendered by a Vascular Surgery specialist, following the hospital admission assessment and occurring within the first five weeks of admission. This service is defined in the General Preamble () and includes:
• Multidisciplinary care scenarios where several physicians in different disciplines assess the patient.
• Attendance at surgery if requested by the patient or their representative, where the physician does not assist.
• The specific elements of an assessment as outlined in , including a direct physical encounter, history taking, physical examination, and provision of advice.
• For subsequent visits after the first five weeks, see C177 and C179.
All insured services must be documented in an appropriate medical record that establishes the service was provided, is the service for which the account is submitted, and was medically necessary. ()
As an assessment, the service must include a direct physical encounter with the patient including taking a patient history and performing a physical examination. ()
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