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C618
C618 – Concurrent Care
OHIP Surgical Procedures Code — Haematology (61) · 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. Source: :.
When to Use
- Use C618 for routine follow-up assessments in hospital when you are acting as a consultant and the family physician remains the MRP.
- Use this code for ongoing directive care after the initial consultation (C610) has been completed and billed.
- Use C618 when the MRP specifically requests your continued involvement in the patient's management during their hospital stay.
Common Pitfalls
- Billing C618 when you have assumed the role of MRP, as this code is strictly for consultants providing directive care while the family physician remains in charge.
- Exceeding the OHIP frequency limits of 4 visits in the first week and 2 visits per week thereafter, which will lead to automatic claim rejections.
- Confusing C618 with subsequent hospital visits (C010) or supportive care (C020); C618 requires an active request for directive care from the MRP.
Billing Tips
- Ensure the referring physician's name and billing number are clearly linked to the claim to satisfy the requirement for a request for directive care.
- If you are seeing the patient in an ICU or CCU setting, append the C101 premium to C618 to maximize the claim value.
Provider Fee$0.00
Specialist Fee$34.10
Effective: June 1, 2025
Category
Consultations and Visits
Subcategory
Haematology (61)
Service Type
Assessment
Code Classes
Hospital and Institutional Consultations and Assessments
Referral RequiredFrom: Physician
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