C617 – Haematology - Subsequent Visit, Sixth to Thirteenth Week
OHIP Surgical Procedures Code — Haematology (61) · Schedule of Benefits
A subsequent visit for a non-emergency hospital in-patient under the care of a Haematologist (specialty 61). This service is specifically for visits occurring from the sixth to the thirteenth week of the patient's hospital admission. A subsequent visit is defined as any routine assessment in hospital following the hospital admission assessment. When the complexity of a medical condition requires services from several physicians in different disciplines, each physician's visit constitutes a subsequent visit. In addition to the common elements of all insured services (as outlined in -), this service includes the specific elements of assessments (as outlined in ), which require a direct physical encounter with the patient, including a history and physical examination, arranging for any related assessments or therapy, and providing advice and information to the patient or their representative.
When to Use
- Use C617 for routine, non-emergency follow-up assessments of a hematology patient between the 6th and 13th week of their hospital admission.
- Use this code when the patient is under your care as a consultant or co-managing specialist, provided the visit is not an emergency or a special call-out.
Common Pitfalls
- Billing C617 for visits occurring before the 6th week or after the 13th week of admission, which requires using different codes in the C61x series.
- Attempting to bill C617 for emergency assessments, which must be billed using the General Listings 'A' prefix codes and applicable premiums instead.
- Exceeding the maximum of 3 visits per patient per week, as the Ministry will automatically reject claims exceeding this frequency.
Billing Tips
- If you are the Most Responsible Physician (MRP) and meet the eligibility criteria, remember to append E083 for weekday visits or E084 for weekend/holiday visits to increase the fee by 30% or 45% respectively.
- Always calculate the visit timing based on the patient's original hospital admission date, even if the patient was transferred to your care from another physician.
Effective: June 1, 2025
Consultations and Visits
Haematology (61)
Assessment
Hospital and Institutional Consultations and Assessments
For Services not listed, refer to Internal Medicine Section.
See General Preamble to .
For emergency calls and other special visits to in-patients, use General Listings and Premiums when applicable - see General Preamble to .
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