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Billing code

C008A — Hospital concurrent care visit

Hospital concurrent care visit

Bill C008 for routine hospital visits by a consultant giving ongoing directive care while the family physician remains most responsible physician.

Watch for: Limit 4 claims in the first week of concurrent care, then 2 per week; extra claims are not payable.

Code

C008A

Description

Hospital concurrent care visit

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Routine hospital visit by a consultant who keeps giving directive care at the family physician's request while the family physician stays MRP.

What it covers

Concurrent care is any routine assessment in hospital by the consultant after the consultant's first major assessment, when the family physician remains the most responsible physician but asks the consultant to continue directive care (GP48).

C008 is the Family Practice & Practice in General listing for concurrent care (A13).

Billing rules

• Limit 4 claims per week in the first week of concurrent care and 2 per week after that; extra claims are not payable (GP48).
• Detention (K001) can start only after 30 minutes of a subsequent hospital visit (GP30).
• FHO: counts toward the hospital services special payment (Agreement Schedule 3, p.90; §8.5, p.66). In-patient services to enrolled patients are paid full fee-for-service (Agreement p.64 §7.2).

Common rejections

• AHF: 'Concurrent or supportive care same period': OHIP found concurrent or supportive care already paid for this patient in the same period, or the weekly limit was exceeded (GP48).

Related codes: C010, C005, C002, C121, C608

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), page A13; rules GP48.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing