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Billing code

C076A — Geriatric in-patient repeat consultation

Geriatric in-patient repeat consultation

Bill C076 when the same geriatrician consults again on an in-patient's same problem after another physician's care in between.

Watch for: Needs a new signed written request; if repeat conditions aren't met, OHIP pays a general or specific assessment.

Code

C076A

Description

Geriatric in-patient repeat consultation

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

Repeat geriatric consultation for a hospital in-patient: same consultant, same problem, after another physician's care in between.

What it covers

C076 is the Geriatrics (07) repeat consultation for non-emergency hospital in-patients (A121). A repeat consultation is another consultation by the same consultant for the same presenting problem, after another physician has cared for the patient in between. It needs a new written request (GP19).

Hospital in-patient (C-prefix) services follow GP40–GP48. For emergency calls and other special visits to in-patients, use the General Listings and special visit premiums instead (A121).

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).
• Needs a new written, signed request naming the referrer and their billing number (GP16, GP19).
• Repeat consultations don't count toward the consultation limits, but if the repeat-consultation conditions aren't met OHIP pays a general or specific assessment instead (GP18).
• Send a written report with your findings, opinion and recommendations to the referrer, and also to the primary care provider when a nurse practitioner referred (GP16).
• Detention (K001) can be added only after 60 minutes of consultation time (GP30–GP31).
• Video only (not phone), and for a hospital in-patient or LTC resident only if you are not the MRP, the facility has no physician with the needed expertise (documented by the referrer), and the referrer saw the patient in person within the past 30 days (AJ2, A69).

Common rejections

• ARF: OHIP describes this as 'Missing Physician Referring Number': a consultation claim needs the referring physician's or nurse practitioner's billing number (GP16).
• AT2: OHIP describes this as 'Must include video modality': this code is video-only in Appendix J, so it can't be billed by phone with K301A (AJ2).

Related codes: C075, C375, A076, W076, C072

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Geriatrics (07), page A121. Repeat consultation GP19.

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