All codes
C357
C357 – Subsequent visit - sixth to thirteenth week inclusive
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit is any routine assessment in hospital following the hospital admission assessment. This service is for a visit rendered from the sixth to the thirteenth week inclusive, following the patient's admission. Subsequent visits include all routine assessments of the patient's condition. If the complexity of a patient's medical condition requires services from several physicians in different specialties, each visit may constitute a subsequent visit.
When to Use
- Use C357 for routine inpatient follow-up visits occurring between day 36 and day 91 post-admission.
- Use this code when the patient remains under your care for an extended hospital stay, transitioning from the C352 (weeks 2-5) billing window.
Common Pitfalls
- Billing C357 based on the date of transfer to your service rather than the patient's original hospital admission date will lead to incorrect fee code selection.
- Attempting to bill C357 alongside C121 for the same patient on the same day will trigger a rejection, as C121 is reserved for intercurrent illness.
Billing Tips
- Always append E083 to C357 if you are the Most Responsible Physician (MRP) to capture the 30% premium, provided you meet the hospital remuneration criteria.
- Track the patient's admission date in your billing software to ensure automatic progression from C352 to C357 and eventually C359 once the 14th week is reached.
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