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C722

C722Subsequent visit - first five weeks

OHIP Surgical Procedures Code · Schedule of Benefits

Subsequent visit - first five weeks (per visit) for Occupational Medicine in a non-emergency hospital in-patient setting.

When to Use

  • Use C722 for routine daily follow-up assessments of an Occupational Medicine inpatient during the first 35 days of their admission.
  • Use C722 when you are the Most Responsible Physician (MRP) or providing concurrent care for a patient who has already had their initial admission assessment completed.
  • Use C722 when attending a surgery as a non-assisting physician, provided you perform a subsequent visit assessment.

Common Pitfalls

  • Billing C722 on the same day as the initial admission assessment by the same physician will result in a rejection.
  • Failing to transition to C727 after the 35-day threshold will lead to claim adjustments or rejections for incorrect code usage.
  • Attempting to bill C722 for virtual care services is invalid, as this code is restricted to in-person hospital inpatient settings.

Billing Tips

  • Always append the E083 premium if you are the MRP to increase the fee by 30%, or E084 if the visit occurs on a weekend or holiday to increase it by 45%.
  • If a patient is transferred to your care, reset your 5-week clock to the date of your first assessment, as this is considered the new 'admission date' for your billing purposes.
Provider Fee$0.00
Specialist Fee$40.05

Effective: April 1, 2026

Service Type

In-patient

Code Classes

Assessment

The service must be a routine assessment in hospital following the hospital admission assessment.

The physician must be the Most Responsible Physician (MRP) or providing concurrent/supportive care as defined in the preamble.

After 5 weeks, subsequent visits are billed as C727 (weeks 6-13) or C729 (after 13 weeks).

For emergency calls or special visits to in-patients, use General Listings (A-prefix codes) and applicable Special Visit Premiums instead of C722.

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