C352 – Subsequent visit - first five weeks
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit is defined as any routine assessment in a hospital following the hospital admission assessment, and includes services like multidisciplinary care and attendance at surgery when requested. C352 is the specific code for a subsequent visit rendered by a urologist (specialty 35) during the first five weeks of a patient's hospitalization. For visits beyond the first five weeks, see C357 and C359. This service is subject to the general rules for subsequent visits outlined on of the Schedule of Benefits.
When to Use
- Use C352 for routine daily hospital rounds performed by a urologist within the first 35 days of a patient's admission.
- Use C352 when providing multidisciplinary care or attending surgery as a consultant during the initial five-week hospitalization window.
- Use C352 for the first assessment by a urologist following a referral for a patient already admitted to the hospital, as this resets the 'admission date' for your billing purposes.
Common Pitfalls
- Billing C352 beyond the 35-day threshold, at which point you must transition to C357 or C359 to avoid automatic rejections.
- Attempting to bill C352 more than once per day for the same patient, as subsequent visits are strictly limited to one per day regardless of clinical complexity.
- Failing to account for the 'reset' rule when accepting a referral; if you are the second physician, your first assessment date is the new 'admission date' for your subsequent visit count.
Billing Tips
- If you are the Most Responsible Physician (MRP) and meet the remuneration criteria, always append E083 to C352 to capture the 30% premium, or E084 for weekend/holiday visits to capture the 45% premium.
- If the patient is in an ICU or CCU, ensure you add C101 to your C352 claim to secure the additional $9.10 premium, provided no other team-based critical care fees are being claimed.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Hospital and Institutional Consultations and Assessments
Subsequent visits are limited to one per patient, per day for the first 5 weeks after admission.
When a patient is referred from one physician to another, the admission date for calculating subsequent visit limits is the date the second physician first assessed the patient.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.