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C347 – Subsequent visit - sixth to thirteenth week inclusive

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

Subsequent visit for a patient under the care of a Radiation Oncologist. This service is for non-emergency hospital in-patients and is applicable from the sixth to the thirteenth week of admission, inclusive. Per , a subsequent visit is any routine assessment in hospital following the hospital admission assessment. It includes: • Attendance at surgery if the physician is asked to be present by the patient or their representative but does not assist. • Visits as part of multidisciplinary care when the complexity of the medical condition requires the services of several physicians in different disciplines, each physician's visit constitutes a subsequent visit.
The medical record must document all constituent elements of the service, as required by the Health Insurance Act.
As an assessment, this service must include a direct physical encounter, history taking, physical examination, and other specific elements as defined in .

When a hospital in-patient is referred from one physician to another physician, the date the second physician assessed the patient for the first time is considered the 'admission date' for the purposes of determining the appropriate subsequent visit fee code.

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