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C729

C729Subsequent visit - after 13th week

OHIP Surgical Procedures Code · Schedule of Benefits

Subsequent visit - after thirteenth week (maximum 6 per patient per month) (per visit)

When to Use

  • Use for routine daily or periodic follow-up assessments for patients who have exceeded 13 weeks of continuous hospitalization.
  • Use when managing long-term chronic care or rehabilitation patients who have surpassed the eligibility window for C727.
  • Use as the base code for routine visits when the patient has been transferred to your care and the cumulative hospital stay exceeds 13 weeks.

Common Pitfalls

  • Billing C729 when the patient has been in the hospital for less than 13 weeks, which should be billed as C722 or C727 instead.
  • Exceeding the 6-visit monthly limit without documenting an acute intercurrent illness to justify billing C121 for additional encounters.
  • Failing to reset the 13-week clock when accepting a new referral, as the consultant's own assessment date determines their specific eligibility for C722 versus C729.

Billing Tips

  • Always append E083 to C729 if you are the MRP and meet the remuneration criteria to increase the visit fee by 30%.
  • If a patient develops an acute condition requiring more than 6 visits in a month, bill the routine visits as C729 and the extra visits for the acute issue as C121.
Provider Fee$0.00
Specialist Fee$40.05

Effective: April 1, 2026

Service Type

Hospital In-Patient

Code Classes

Assessment

Subsequent visits are calculated based on the duration of the patient's stay in hospital.

If a physician assesses another physician's patient on an emergency basis, General Listings ('A' prefix) apply instead of C729.

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