C608 – Concurrent Care
OHIP Surgical Procedures Code — Cardiology (60) · Schedule of Benefits
Concurrent care is defined in as any routine assessment rendered in hospital by a consultant following their first major assessment of the patient. This service applies when the family physician remains the most responsible physician but requests continued directive care by the consultant. Payment is limited to 4 per week during the first week of concurrent care, and 2 claims per week thereafter. Services rendered in excess of this limit are not eligible for payment.
When to Use
- Use C608 for follow-up hospital visits when you are providing directive care at the request of the Most Responsible Physician (MRP) after your initial consultation (C602).
- Select C608 instead of C609 when the patient requires active, ongoing management by the specialist rather than simple supportive care.
Common Pitfalls
- Billing C608 beyond the weekly limit of 2 visits after the first week will trigger automatic rejections; use C609 for additional visits if medically necessary.
- Failing to document the specific request from the MRP for 'continued directive care' makes the claim ineligible for payment during an audit.
Billing Tips
- Always append the C101 premium when providing C608 services to patients admitted to the ICU or CCU to maximize the claim value.
Effective: June 1, 2025
Consultations and Visits
Cardiology (60)
Assessment
Hospital and Institutional Consultations and Assessments, Assessments
The medical record should document the request from the most responsible physician for continued directive care.
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