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C727
C727 – Subsequent visit, 6th to 13th week inclusive (max 3/week)
OHIP Surgical Procedures Code · Schedule of Benefits
Subsequent visit - sixth to thirteenth week inclusive (maximum 3 per patient per week) (per visit) for Occupational Medicine in-patient services.
When to Use
- Use C727 for routine daily management of an Occupational Medicine in-patient between day 36 and day 91 of their hospital stay.
- Use C727 when the patient has transitioned past the initial 5-week period covered by C722 but has not yet reached the 14th week of hospitalization.
Common Pitfalls
- Billing C727 beyond the 3-visit-per-week limit without documenting a distinct intercurrent illness to justify C121 for additional visits.
- Failing to reset the 'admission date' clock to the date of your first assessment when you are a consulting physician, leading to incorrect code selection between C722, C727, and C729.
- Attempting to bill C727 for patients in designated palliative care beds, which are strictly excluded from this code class.
Billing Tips
- Always append E083 to C727 if you are the Most Responsible Physician (MRP) to capture the MRP premium, provided you meet the remuneration criteria.
- If you exceed the 3-visit weekly limit for C727, ensure the clinical record explicitly supports an 'intercurrent illness' to justify billing C121 for the extra visits.
Provider Fee$0.00
Specialist Fee$40.05
Effective: April 1, 2026
Service Type
Hospital In-Patient
Code Classes
Assessment
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