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Billing code

C072A — Geriatric in-patient subsequent visit – first 5 weeks

Geriatric hospital visit, weeks 1–5

Bill C072 for a geriatrician's routine in-patient visit after the admission assessment, during the first 5 weeks of the stay.

Watch for: Limited to one per patient per day in the first 5 weeks; extra visits are not payable.

Code

C072A

Description

Geriatric in-patient subsequent visit – first 5 weeks

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 geriatric hospital visit after the admission assessment, during the first 5 weeks of the stay. One per patient per day.

What it covers

C072 is the Geriatrics (07) in-patient subsequent visit for the first five weeks after admission (A121). A subsequent visit is any routine assessment in hospital after the admission assessment (GP43).

Attendance at surgery at the patient's request without assisting, and each physician's visit when several disciplines care for a complex patient, also count as subsequent visits (GP43).

Billing rules

• Specialists bill from the Consultations and Visits listing for their own Royal College specialty on file with the Ministry, here Geriatrics (07) (GP9).
• Limited to 1 per patient per day for the first 5 weeks after admission; extra visits are not payable (GP43).
• If the patient was referred to you from another physician in hospital, count weeks from the date you first assessed them; if care was transferred to you, count from the actual admission date (GP43).
• When you are already in hospital and see your own patient, it's a subsequent visit; seeing another physician's patient on an emergency basis uses the General Listings (GP43).
• As MRP, add E083 (+30%), or E084 (+45%) on Saturdays, Sundays and holidays; only one per patient per day, and only if you are not paid by the hospital for in-patient care (or that pay is reduced) (GP47).
• Not on the Appendix J virtual care list, so it is not payable by video or phone (AJ1–AJ3).

Often billed with

• E083 MRP subsequent-visit premium, or E084 on weekends and holidays (GP47).

Common rejections

• AM1: OHIP describes this as 'Service limit exceeded': more subsequent visits than the period allows (GP43).

Related codes: C077, C079, C121, C078, C122, C124, E083, E084

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Geriatrics (07), page A121. Subsequent visit rules GP43–GP47.

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