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C179 – Subsequent visit - after thirteenth week

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

This service is a subsequent visit by a Vascular Surgery specialist to a hospital in-patient, applicable for visits rendered after the thirteenth week of admission. A subsequent visit is defined as any routine assessment in a hospital following the hospital admission assessment. Per the General Preamble (), when the complexity of a patient's condition requires services from multiple physicians in different disciplines, each physician's visit constitutes a subsequent visit. If a hospital in-patient is transferred between physicians, the 'admission date' for calculating visit frequency is considered the date the second physician first assessed the patient.
In accordance with the specific elements of assessments outlined in , documentation must include a patient history and physical examination.
The patient's medical record must allow for tracking of the admission date to confirm eligibility for this service, which begins after the 13th week of admission.

Subsequent visits after thirteenth week (maximum 6 per patient per month) per visit.

The limits on subsequent visits (one per day, 3 per week from weeks 6-13, 6 per month after week 13) do not apply to additional visits due to an acute intercurrent illness, which are claimed as C121.

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