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C462 – Infectious disease subsequent visit - first five weeks

OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits

A subsequent visit for an acute care hospital in-patient rendered by a specialist in Infectious Disease (46). This service is applicable for visits during the first five weeks of the patient's hospital stay. As defined in , a subsequent visit is any routine assessment in hospital following the hospital admission assessment. This may include: • Attendance at surgery if, in the interest of the patient, the referring physician is asked to be present by the patient or the patient's representative, but does not assist at the procedure. • In cases of multidisciplinary care where the complexity of the medical condition requires the services of several physicians in different disciplines, each physician visit constitutes a subsequent visit.
In addition to the common elements, all assessments must include documentation of: • A direct physical encounter with the patient including taking a patient history and performing a physical examination. • Other inquiry carried out to arrive at an opinion as to the nature of the patient's condition. • Arrangements for any related assessments, procedures or therapy, and/or interpreting results. • Arrangements for follow-up care. • Discussion with, and providing advice and information to the patient or the patient's representative.
Usage limits
OR([1, "day", "per_patient", "Limited to one subsequent visit per patient, per day during the first 5 weeks after admission."], [1, "per_admission", "per_patient", "For visits after 5 weeks, use C467 and C469."])

This code is for use by specialists in Infectious Disease (46).

Subsequent visit codes are tiered based on the duration of the hospital stay: C462 (first five weeks), C467 (sixth to thirteenth week), and C469 (after thirteenth week).

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