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Billing code

C168A — Nephrology concurrent care – hospital in-patient

Nephrology concurrent care visit

Bill C168 for a nephrologist's routine in-patient visit when the family physician stays most responsible but asks for continued care.

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

Code

C168A

Description

Nephrology concurrent care – hospital in-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

Nephrologist's routine in-patient visit after their first major assessment, when the family physician stays MRP but asks for continued care.

What it covers

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

C168 is the nephrology concurrent care visit (A138).

Billing rules

• Limited to 4 claims per week in the first week of concurrent care and 2 per week after that; excess is not payable (GP48).
• If you take over as the patient's physician, bill subsequent visits (C162, C167, C169) instead (A138, GP43).
• Not listed in Appendix J, so it is not payable by video or telephone (A68, AJ1–AJ2).

Common rejections

• AHF: Concurrent or supportive care was already claimed for the same period; check the 4-per-week (first week) and 2-per-week limits (GP48).

Related codes: C162, C167, C169, C165, C138

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Nephrology (16), page A138; rules GP48.

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