What are the billing rules for C062A?

One per patient per day in the first 5 weeks after admission (GP43). For the operating surgeon, weeks are counted from the admission date if you admitted the patient, or from the referral date if the patient was referred to you in hospital (SP2, GP43). When an in-patient is referred to you, the date you first assess them is the admission date for choosing the subsequent visit code (GP43).

Why is C062A rejected?

AM1: OHIP describes this as 'Service limit exceeded': only one subsequent visit per patient per day is payable in the first 5 weeks (GP43).

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Billing code

C062A — Orthopaedic in-patient subsequent visit – first 5 weeks

Q: What is OHIP billing code C062A?

Routine hospital visit by an orthopaedic surgeon in the first 5 weeks after admission, one per patient per day.

Orthopaedic hospital visit, weeks 1–5

Bill C062 for an orthopaedic surgeon's routine in-patient visit in the first 5 weeks after admission.

Watch for: Only one subsequent visit per patient per day is payable in the first 5 weeks.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$0.00	$31.00	$0.00	$0.00	$0.00

Code: C062A
Description: Orthopaedic in-patient subsequent visit – first 5 weeks
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Jun 1, 2025
Termination date: No end date

Explanation

Updated October 26, 2026

Routine hospital visit by an orthopaedic surgeon in the first 5 weeks after admission, one per patient per day.

What it covers

C062 is the Orthopaedic Surgery (06) subsequent visit for the first five weeks of a hospital stay (A164). A subsequent visit is any routine assessment in hospital after the admission assessment (GP43).

The surgical fee includes post-operative monitoring until the first post-operative visit (SP1).

Billing rules

One per patient per day in the first 5 weeks after admission (GP43).
For the operating surgeon, weeks are counted from the admission date if you admitted the patient, or from the referral date if the patient was referred to you in hospital (SP2, GP43).
When an in-patient is referred to you, the date you first assess them is the admission date for choosing the subsequent visit code (GP43).
Seeing your own patient while already in the hospital is a subsequent visit; seeing another physician's patient on an emergency basis uses the General Listings (A-prefix) (GP43).
As the MRP, add E083 (+30%). E084 (weekend/holiday MRP premium) is not available to Orthopaedic Surgery (06) (GP47).
Not a virtual care code: C062 isn't in Appendix J (AJ1–AJ3).

Often billed with

E083 MRP premium (GP47).

Common rejections

AM1: OHIP describes this as 'Service limit exceeded': only one subsequent visit per patient per day is payable in the first 5 weeks (GP43).

Related codes: C067, C069, C068, C121, C122, C124, E083

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Orthopaedic Surgery (06), page A164. Subsequent visit rules GP43–GP47.

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