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C448
C448 – 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. This service is for specialists in Medical Oncology (44). See for general rules on concurrent care.
When to Use
- Use C448 for routine follow-up assessments in hospital when you are providing ongoing directive oncology care at the request of the MRP.
- Use this code when the patient is admitted for a non-oncological issue, but you are requested to continue managing their active chemotherapy or oncology-related complications.
Common Pitfalls
- Billing C448 beyond the weekly frequency limits (4 in the first week, 2 thereafter) will result in automatic rejection or recovery during audit.
- Attempting to claim a special visit premium (e.g., K965) with C448 will cause a rejection; you must use an 'A' prefix assessment code if a special visit premium is required.
- Billing C448 when you are the MRP for the patient's hospital admission is incorrect; it is strictly intended for consultants providing concurrent care.
Billing Tips
- Ensure the request for continued directive care from the MRP is clearly documented in the hospital chart to satisfy the requirements of GP48.
- If you are seeing the patient in an ICU or CCU setting, remember that C448 is eligible for the C101 premium if no other separate fee is claimed.
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