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C728
C728 – Concurrent care
OHIP Surgical Procedures Code · Schedule of Benefits
Concurrent care is any routine assessment rendered in hospital by the consultant following the consultant’s first major assessment of the patient when the family physician remains the most responsible physician but the latter requests continued directive care by the consultant.
When to Use
- Use C728 when you have completed an initial consultation (C000 series) and the family physician remains the MRP, but you are required to provide ongoing directive care for a specific condition.
- Use C728 for routine follow-up assessments in an inpatient setting where the patient's care plan requires your continued specialist input without assuming the role of MRP.
Common Pitfalls
- Billing C728 when you have assumed the role of MRP, as this code is strictly for concurrent care where the family physician retains responsibility.
- Exceeding the weekly frequency limits of 4 claims in the first week or 2 claims per week thereafter, which will trigger automatic rejections.
- Confusing C728 with C121; use C121 only if a new, unrelated intercurrent illness arises that requires a separate assessment, rather than routine follow-up of the original consultation.
Billing Tips
- Ensure your documentation clearly reflects the request from the MRP for continued directive care to justify the necessity of the concurrent assessment.
- If you are visiting a patient in the ICU/CCU, remember to append the C101 premium to your C728 claim to maximize the value of the visit.
Provider Fee$0.00
Specialist Fee$40.05
Effective: April 1, 2026
Service Type
In-patient
Code Classes
Assessment
A week is defined as seven consecutive days.
Services in excess of the weekly limits are not eligible for payment.
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