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C208
C208 – Concurrent care - per visit
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Concurrent care is any routine assessment rendered in hospital by a consultant following the consultant's first major assessment of the patient when the family physician remains the most responsible physician (MRP) but requests continued directive care by the consultant. As an assessment, it includes the specific elements of assessments as described in and the common elements of all insured services as described in -.
When to Use
- Use C208 when you have completed a formal consultation (A005/C005) and the MRP requests you continue to see the patient for ongoing directive management of a specific condition.
- Use C208 for daily hospital rounds when you are providing active, directive care for a patient whose primary management remains under the family physician or another specialist serving as MRP.
Common Pitfalls
- Billing C208 when you have assumed the role of MRP; in this scenario, you must bill subsequent hospital visits (C002) instead of concurrent care.
- Exceeding the OHIP frequency limits of 4 visits in the first week and 2 visits per week thereafter, which will trigger automatic claim rejections.
- Claiming C208 concurrently with C002 or other assessment codes for the same patient on the same day, which is considered a billing duplication.
Billing Tips
- Ensure the referring physician's name and billing number are clearly documented in the patient's chart to substantiate the request for directive care.
- If the patient is located in an ICU or CCU, remember to append the C101 premium to your C208 claim to maximize the value of the visit.
Provider Fee$0.00
Specialist Fee$31.00
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Assessment
Code Classes
Hospital and Institutional Consultations and Assessments
Referral RequiredFrom: Physician
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