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C607
C607 – Subsequent Visit
OHIP Surgical Procedures Code — Cardiology (60) · Schedule of Benefits
A subsequent visit is a routine assessment in hospital following the hospital admission assessment. This specific fee code applies to a subsequent visit rendered by a cardiologist to a non-emergency hospital in-patient during the period from the sixth to the thirteenth week of admission, inclusive (per visit).
When to Use
- Use C607 specifically for routine cardiology follow-up assessments performed between the 6th and 13th week of a patient's continuous hospital admission.
- Use this code when the patient has transitioned past the initial intensive management phase covered by earlier subsequent visit codes like C602.
Common Pitfalls
- Billing C607 after the 13th week of admission will result in automatic rejection; ensure you transition to the appropriate long-stay subsequent visit code (C608) thereafter.
- Attempting to bill C607 on the same day as C602 or C609 will trigger a rejection due to the restricted code policy for cardiology subsequent visits.
- Failing to account for the actual admission date when taking over care from another physician can lead to incorrect code selection and audit flags.
Billing Tips
- If you are the Most Responsible Physician (MRP) and meet the remuneration criteria, always append the E083 premium to increase the fee by 30% on weekdays.
- Always verify the patient's total days in hospital before submission to ensure the visit falls strictly within the 6th to 13th-week window.
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