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C468
C468 – Concurrent care
OHIP Consultations and Visits 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.
Family physician remains the most responsible physician
Family physician requests continued directive care by the consultant
Usage limits
OR([4, "week", "per_patient", "Limited to a maximum of 4 claims per week during the first week of concurrent care"], [2, "week", "per_patient", "and 2 claims per week thereafter."])
Definition: 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.
Payment rules: Claims for concurrent care are limited to 4 per week during the first week of concurrent care, and 2 claims per week thereafter. Services in excess of this limit are not eligible for payment.
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