E080 – First visit after hospital discharge premium
OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits
1. Subject to payment rules 2 through 5, E080 is only eligible for payment for a visit with the patient's primary care physician in the physician's office or the patient's home within two weeks of discharge following in-patient admission to an acute care hospital.
2. E080 is not eligible for payment if the admission to hospital was for the purpose of obstetrical delivery unless the mother required admission to an ICU during the hospital stay.
3. E080 is not eligible for payment if the admission to hospital was for the purpose of newborn care unless the infant required admission to a NICU during the hospital stay.
4. E080 is not eligible for payment if the admission to hospital was for the purpose of performing day surgery.
5. E080 is only eligible for payment when rendered with the following services: A001, A003, A004, A007, A008, A261, A262, A263, A264, A888, A900, K004–K008, K013, K014, K022, K023, K028-K030, K032, K033, K037, K623, P003, P004, P008.
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