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C248
C248 – Concurrent care
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Concurrent care is any routine assessment rendered in hospital by the consultant following the consultant's first major assessment of the patient when the family physician remains the most responsible physician but the latter requests continued directive care by the consultant. For payment rules, see .
When to Use
- Use C248 for daily or periodic inpatient follow-ups when you are acting as a consultant and the family physician has explicitly requested your ongoing directive input.
- Use C248 for subsequent hospital visits when the patient does not meet the criteria for a subsequent visit code (C022) because you are not the primary provider managing the patient's overall hospital stay.
Common Pitfalls
- Billing C248 when you have assumed the role of Most Responsible Physician (MRP); in this case, you must bill subsequent hospital visit codes like C022 instead.
- Exceeding the weekly limit for concurrent care services, which will trigger automatic rejections as per the GP48 payment rules.
- Failing to document the specific request for continued directive care from the MRP, which is a mandatory requirement for audit compliance.
Billing Tips
- Ensure your documentation clearly states the request from the MRP to differentiate these visits from routine subsequent hospital care.
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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