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Billing code

C158A — Concurrent Care

Endocrinology concurrent care visit

Bill C158 for an endocrinologist's routine in-patient visit when the family physician stays most responsible but wants your ongoing direction.

Watch for: Maximum 4 claims in the first week of concurrent care, then 2 per week; extra visits aren't payable.

Code

C158A

Description

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

Concurrent care visit by an endocrinologist to a hospital in-patient whose family physician stays most responsible but wants your ongoing direction.

What it covers

Concurrent care is any routine hospital assessment by the consultant after the consultant's first major assessment, when the family physician remains the most responsible physician but asks for continued directive care by the consultant (GP48).

Billing rules

• Maximum 4 claims per week in the first week of concurrent care, then 2 per week; extra visits aren't payable (GP48).
• Only after your first major assessment of the patient, such as your consultation (GP48).
• If you take over as the MRP, bill subsequent visits (C152, C157, C159) instead (A102, GP43).
• Detention (K001) is only payable after 30 minutes (GP30).
• Not on the virtual care list (Appendix J).

Common rejections

• AM1: More than 4 concurrent care claims in the first week, or more than 2 a week after that (GP48).

Related codes: C155, C152, C157, C159, C121

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Endocrinology & Metabolism (15), page A102; rules GP48.

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