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Billing code

C078A — Geriatric in-patient concurrent care

Geriatric concurrent care visit

Bill C078 for a geriatrician's routine in-patient visit giving ongoing directive care while the family physician stays most responsible physician.

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

Code

C078A

Description

Geriatric in-patient concurrent care

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 directing care while the family physician stays most responsible. Limited per week.

What it covers

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

C078 is the concurrent care visit in the Geriatrics (07) in-patient listings (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).
• Limited to 4 claims per week in the first week of concurrent care and 2 per week after that; extra visits are not payable (GP48).
• Bill this instead of a subsequent visit when the family physician, not you, is the MRP (GP48).
• Not on the Appendix J virtual care list, so it is not payable by video or phone (AJ1–AJ3).

Common rejections

• AM1: OHIP describes this as 'Service limit exceeded': more concurrent care visits than the weekly limit (GP48).

Related codes: C075, C072, C077, C079, C121, C073

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Geriatrics (07), page A121. Concurrent care GP48.

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