All codes
C358
C358 – Concurrent care
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. It is a type of subsequent visit with specific usage limits. See for full details and payment rules.
When to Use
- Use C358 when you are the consultant providing ongoing directive care for a specific condition while the patient remains under the primary care of the family physician or another MRP.
- Use C358 for routine follow-up assessments in the hospital after your initial consultation (C002-C010) has been completed and the patient is stable enough to not require daily critical care management.
Common Pitfalls
- Billing C358 when you are the MRP; if you are the MRP, you must bill subsequent hospital visits (C002) instead.
- Attempting to add E083 or E084 premiums to C358; these premiums are strictly reserved for the MRP and will be rejected when attached to concurrent care codes.
- Exceeding the maximum allowable frequency for concurrent care; once the limit defined in the Schedule of Benefits is reached, subsequent claims will be rejected.
Billing Tips
- You may add the C101 premium to C358 if the patient is located in an ICU or CCU and you are not claiming other team-based critical care fees.
- Ensure your documentation clearly reflects that you are providing directive care at the request of the MRP to justify the use of C358 over a standard subsequent visit code.
Provider Fee$0.00
Specialist Fee$31.60
Effective: June 1, 2025
Category
A. Consultations and Visits
Subcategory
CONSULTATIONS AND VISITS
Service Type
Assessment
Code Classes
Hospital and Institutional Consultations and Assessments
Services in excess of the limit are not eligible for payment.
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