C662 – Extended Special Paediatric Consultation
OHIP Surgical Procedures Code — Paediatrics (26) · Schedule of Benefits
An extended special paediatric consultation rendered for a non-emergency hospital in-patient. As a 'C' prefix code, this service is specifically for use in an acute care hospital setting for non-emergency services. This service is subject to the same conditions as A662, which includes providing all elements of a consultation (A265) and spending a minimum of 90 minutes in direct contact with the patient, exclusive of time spent rendering any other separately billable intervention. It requires a written request from a referring physician, nurse practitioner, or dental surgeon, and the patient's condition must warrant the consultation due to its complexity, seriousness, or obscurity.
When to Use
- Use C662 for a complex, non-emergency inpatient consultation requiring at least 90 minutes of direct patient contact, which exceeds the scope of a standard C265 consultation.
- Use this code when managing a multi-system paediatric patient where the complexity of the clinical presentation necessitates an exhaustive review and extended time commitment beyond the standard consultation fee.
Common Pitfalls
- Failure to document exact start and stop times in the medical record is a primary cause for audit recovery, as the 90-minute minimum is a strict requirement for this code.
- Billing C662 when the referral is from a medical trainee or a non-eligible source will result in an automatic adjustment to a lower assessment fee.
- Attempting to bill C662 in conjunction with special visit premiums is prohibited, as 'C' prefix codes are strictly for non-emergency hospital services.
Billing Tips
- Ensure the written referral is clearly documented in the hospital chart, specifically identifying the consultant and the reason for the request, to satisfy the mandatory documentation requirements for 'C' prefix consultations.
- When billing C662, ensure that the 90 minutes of direct contact time excludes any time spent on separately billable procedures or interventions performed during the same encounter.
Effective: June 1, 2025
Consultations and Visits
Paediatrics (26)
Consultation
Consultations, Hospital and Institutional Consultations and Assessments
A copy of the written request for the consultation, signed by the referring physician, nurse practitioner or dental surgeon must be kept in the consulting physician's medical record, except in the case of a consultation which occurs in a hospital, long-term care institution or multi-specialty clinic where common medical records are maintained. In such cases, the written request may be contained on the common medical record.
The request identifies the consultant by name and/or the specialty being consulted, the referring physician, nurse practitioner or dental surgeon by name and billing number, and identifies the patient by name and health number.
The written request sets out the information relevant to the referral and specifies the service(s) required.
The service is eligible for payment only if start and stop times of the service are recorded in the patient's permanent medical record.
subject to the same conditions as A662
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