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C642
C642 – Subsequent visits - first five weeks
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
A subsequent visit for a non-emergency in-patient in an acute care hospital, rendered by a specialist in General Thoracic Surgery. According to , this is any routine assessment in a hospital following the hospital admission assessment. When the complexity of a patient's condition requires services from several different specialists, each physician's visit constitutes a subsequent visit. If a referring physician is asked to be present at a surgery but does not assist, this attendance also constitutes a hospital subsequent visit.
As an assessment, this service includes the specific elements described in :
• A direct physical encounter with the patient, including history and physical examination.
• Other inquiry to arrive at an opinion about the patient's condition.
• Performing any procedure(s) during the same encounter unless separately billable.
• Arranging for related assessments, procedures, or therapy.
• Arranging for follow-up care.
• Discussion and advice to the patient or their representative.
• Monitoring the patient's condition as medically indicated.
The service must be documented in the patient's medical record, fulfilling the requirements for an assessment as per and .
Usage limits
OR([1, "day", "per_patient", "Subsequent visits are limited to one per patient, per day for the first 5 weeks after admission"], [3, "week", "per_patient", "3 visits per week from 6 to 13 weeks after admission"], [6, "month", "per_patient", "6 visits per month after 13 weeks. Services in excess of these limits are not eligible for payment. These limits do not apply to C121 (additional visit due to intercurrent illness)."])
When a hospital in-patient is transferred from one physician to another physician, subsequent visits by the second physician are calculated based on the actual admission date of the patient.
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