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C222 – Subsequent visit - first five weeks

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

A subsequent visit is any routine assessment in a hospital following the hospital admission assessment, rendered by a physician with specialty code 22 (Genetics). The service includes all constituent and common elements of an assessment as outlined in the Schedule of Benefits. As per the listing for C222 on page , this specific fee code is applicable for visits rendered within the first five weeks of the patient's admission. According to the General Preamble (), a subsequent visit may also include attendance at surgery at the request of the patient or their representative (if not assisting), or care provided as part of a multidisciplinary team. When an in-patient is transferred between physicians, the 'admission date' for calculating visit frequency is based on the patient's actual hospital admission date, not the date of transfer to the new physician's care.
All insured services must be documented in appropriate records that establish the service was provided, is the service for which the account is submitted, and was medically necessary.
The medical record requirements for assessments include a direct physical encounter, history, physical examination, and appropriate documentation of advice and arrangements made.

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