H312 – Team management in a Rehabilitation Unit - first twelve weeks
OHIP Obstetrics Code — CONSULTATIONS AND VISITS · Schedule of Benefits
Team management in a Rehabilitation Unit. This service represents active in-patient rehabilitation management from the initiation of rehabilitation care and is payable per visit for the first twelve weeks. When this service is rendered by one physiatrist, even if part of the service is rendered in an active treatment hospital and part in a rehabilitation unit, the weekly and monthly limitations for the H312, H317, and H319 series apply to the total duration of rehabilitation care. Claims cannot be made for C312, C317, and C319 and then started again de novo with H312, H317, and H319 for the same course of care.
When to Use
- Use H312 for the initial 12-week period of active, multidisciplinary rehabilitation management for an inpatient in a designated rehabilitation unit.
- Apply this code when coordinating care with allied health professionals (e.g., PT, OT, SLP) specifically for patients transitioning from acute care to a rehabilitation facility.
Common Pitfalls
- Attempting to claim C312, C317, or C319 for the same patient episode and then switching to H312/H317/H319 to reset billing limits is strictly prohibited and will trigger audit flags.
- Billing H312 for patients who have already exceeded the 12-week threshold of rehabilitation care, which requires transitioning to the appropriate long-term management code.
- Submitting H312 when the service is provided in an acute care setting rather than a designated rehabilitation unit, as H-series codes are specific to the facility type.
Billing Tips
- Ensure your documentation clearly outlines the multidisciplinary team involvement to justify the 'team management' component of the H312 fee.
- Track the 12-week cumulative duration carefully across facility transfers to ensure you do not exceed the total care period limitations defined in the Schedule of Benefits.
Effective: June 1, 2025
A. Consultations and Visits
CONSULTATIONS AND VISITS
Assessment
Hospital and Institutional Consultations and Assessments, Assessments
The 'H' prefix for this service indicates it is for services rendered in a rehabilitation unit by a specialist in Physical Medicine, as described on .
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