C482 – Subsequent visit - first five weeks
OHIP Surgical Procedures Code — CONSULTATIONS AND VISITS · Schedule of Benefits
C482 represents a subsequent visit to a hospital in-patient by a Rheumatologist within the first five weeks of admission. According to , a subsequent visit is any routine assessment in hospital following the hospital admission assessment. This service is limited to one per patient, per day. For subsequent visits beyond the first five weeks, see C487 and C489.
When to Use
- Use C482 for routine daily rheumatological assessments of an inpatient during the first 35 days of admission when you are acting as a consultant rather than the Most Responsible Physician (MRP).
- Use C482 when providing ongoing rheumatology care for a patient admitted under a different service (e.g., Internal Medicine or Orthopedics) within the initial five-week window.
Common Pitfalls
- Billing C482 on the day of discharge or the first two days following admission if you are the MRP; these must be billed using C122, C123, or C124.
- Attempting to bill C482 beyond the 35-day limit, which will trigger a rejection; transition to C487 for weeks 6-13 and C489 thereafter.
- Billing C482 on the same day as C121 for an intercurrent illness; C121 is intended for separate, distinct assessments and cannot be stacked with a routine subsequent visit.
Billing Tips
- If you are the MRP, ensure you are utilizing the C122-C124 series instead of C482 to avoid automatic payment adjustments or recovery of funds.
- Always verify the patient's admission date in the hospital record to ensure the visit falls within the 35-day threshold before selecting C482 over C487.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Hospital and Institutional Consultations and Assessments
See General Preamble to for general rules on non-emergency hospital in-patient services.
For emergency calls and other special visits to in-patients, use General Listings ('A' prefix codes) and Premiums when applicable - see General Preamble to .
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