< Billing codes

Billing code

C068A — Orthopaedic in-patient concurrent care visit

Orthopaedic concurrent care visit

Bill C068 for an orthopaedic consultant's routine in-patient visit when the family physician stays most responsible and asks for continued care.

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

Code

C068A

Description

Orthopaedic in-patient concurrent care visit

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 the orthopaedic consultant when the family physician stays MRP and asks for continued directive care.

What it covers

C068 is the Orthopaedic Surgery (06) concurrent care visit (A164). 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 keep giving directive care (GP48).

Billing rules

• Maximum 4 per week in the first week of concurrent care, then 2 per week. Visits over the limit are not payable (GP48).
• The family physician must remain the MRP and request your continued care (GP48).
• For emergency calls and other special visits to in-patients, use the General Listings (A-prefix) and special visit premiums instead (A164, GP65–GP78).
• Not a virtual care code: C068 isn't in Appendix J (AJ1–AJ3).

Common rejections

• AM1: OHIP describes this as 'Service limit exceeded': more concurrent care visits than allowed: 4 in the first week, then 2 per week (GP48).

Related codes: C065, C062, C067, C069, C121

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Orthopaedic Surgery (06), page A164. Concurrent care 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