Billing code
C126A — MRP hospital visit – day of discharge, medically complex patient
Complex discharge-day hospital visit
Bill C126 for the most responsible physician's discharge visit for a complex patient: 7+ day stay, 3+ contributing diagnoses, 45+ minutes.
Watch for: Under 45 minutes it pays a lesser fee; only one of C124 or C126 per admission.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $95.10 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- C126A
- Description
- MRP hospital visit – day of discharge, medically complex patient
- 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
Discharge-day visit by the most responsible physician for a medically complex patient: stay of 7+ days, 3+ contributing diagnoses, at least 45 minutes.
What it covers
C126 is the discharge-day visit by the MRP for a medically complex patient. It must meet every element and rule of C124, including the discharge summary within 48 hours (A13, GP45).
The patient must have been in hospital for at least 7 consecutive days and have at least three diagnoses that contributed to the length of stay (A13).
Billing rules
- At least 45 minutes, personally rendered, not counting other separately billable services, or it is paid at a lesser fee (A13).
- Only one of C124 or C126 per hospital admission (A13).
- Payable only to the MRP; not for stays under 48 hours, transfers within the same hospital, or discharge straight from an ICU/NICU with a critical care per diem that day (GP45).
- C122, C123, C142 and C143 are not payable the same day (GP44, GP46).
- Add E083 (MRP premium) or, on a Saturday, Sunday or holiday, E084, when you are the MRP; only one per patient per day (GP47).
- Qualifies for the automatic hospitalist premium for eligible FPs and internists with high in-patient volumes (GP103).
Often billed with
- E083 or E084 MRP premium (GP47).
Common rejections
- AO3: 'MRP visit already paid': a C124 or C126 has already been paid for this admission (A13).
Related codes: C124, C122, C123, C142, C143, E083, E084
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), page A13; rules GP45.
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