C348 – Concurrent care
OHIP Surgical Procedures Code — RADIATION ONCOLOGY (34) · 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. As a hospital in-patient service with a 'C' prefix, it is subject to the rules outlined in the to section of the General Preamble.
When to Use
- Use C348 for ongoing radiation oncology management of a hospitalized patient when you are not the Most Responsible Physician (MRP) but have been explicitly requested to provide directive care.
- Use this code for follow-up hospital visits after your initial consultation (C034) has been completed and the patient remains under the care of the primary attending physician.
Common Pitfalls
- Billing C348 when you are acting as the MRP; concurrent care is strictly for consultants providing directive care to a patient managed by another physician.
- Exceeding the weekly frequency limits of 4 claims in the first week and 2 claims per week thereafter, which will trigger automatic rejections.
- Attempting to attach special visit premiums to C348, which is explicitly prohibited under GP65.
Billing Tips
- Ensure the medical record contains a clear, dated request from the MRP for your continued involvement to satisfy the documentation requirement for directive care.
- If the patient is in an ICU or CCU, remember to append the C101 premium to your C348 claim to maximize the value of the visit.
Effective: June 1, 2025
A. Consultations and Visits
RADIATION ONCOLOGY (34)
Assessment
Hospital and Institutional Consultations and Assessments
A request from the Most Responsible Physician (MRP) for continued directive care by the consultant should be documented in the patient's medical record.
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