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C619
C619 – Subsequent visit - after thirteenth week
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Subsequent visit to a hospital in-patient by a Haematologist after the thirteenth week of admission. This service is for subsequent visits after the thirteenth week of admission, with a maximum of 6 per patient per month. A subsequent visit is any routine assessment in hospital following the hospital admission assessment, as defined on . As per , this assessment includes a direct physical encounter with the patient, history taking, physical examination, arranging any related assessments or therapy, and providing advice to the patient or their representative. When the complexity of the medical condition requires the services of several physicians in different disciplines, each physician visit constitutes a subsequent visit.
As per , an appropriate medical record must be maintained to establish that the service was provided, is the service for which the account is submitted, and was medically necessary.
Visits in excess of the monthly limit required as a result of an acute intercurrent illness are payable as C121 (additional visit due to intercurrent illness). The monthly limit does not apply to C121.
When a hospital in-patient is transferred from one physician to another, the date the second physician first assesses the patient is considered the 'admission date' for determining the appropriate subsequent visit fee code (C612, C617, or C619).
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