C288 – Diagnostic consultation
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.
When to Use
- Use C288 when you are providing ongoing, directive management for a hospitalized patient where the family physician remains the MRP and has explicitly requested your continued involvement.
- Use C288 for follow-up hospital visits after the initial consultation (C002 or C003) has been completed and the patient requires ongoing specialist oversight.
Common Pitfalls
- Billing C288 when you have assumed the role of MRP; in this scenario, you must bill subsequent hospital visits (C007) instead.
- Exceeding the weekly frequency limits (4 in the first week, 2 thereafter) which will trigger automatic claim rejections.
- Failing to document the specific request from the MRP for continued directive care, which is a mandatory requirement for audit compliance.
Billing Tips
- Ensure the MRP's request for your continued involvement is clearly noted in the chart to justify the transition from a consultation to concurrent care.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Hospital and Institutional Consultations and Assessments
The request from the Most Responsible Physician (MRP) for continued directive care by the consultant must be documented in the patient's medical record.
See General Preamble to .
For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .
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