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Billing code

C208A — Obstetrics and gynaecology concurrent care – hospital in-patient

Obstetrics-gynaecology concurrent care visit

Bill for a consulting obstetrician-gynaecologist's routine hospital visit while the family physician stays the most responsible physician.

Watch for: Limited to 4 in the first week of concurrent care, then 2 per week; extra visits aren't paid.

Code

C208A

Description

Obstetrics and gynaecology concurrent care – hospital in-patient

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Jun 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Routine in-hospital visit by the obstetrician-gynaecologist consultant while the family physician stays the most responsible physician.

What it covers

C208 is concurrent care by an obstetrician-gynaecologist, billed per visit (A151).

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 the consultant to continue directive care (GP48).

Billing rules

• Maximum 4 per week in the first week of concurrent care, then 2 per week. Extra visits are not payable (GP48).
• The consultant's first major assessment (for example C205 consultation) comes first; concurrent care is the follow-up (GP48).
• When the consultant is the MRP, routine visits are subsequent visits (C202, C207, C209) instead (A150; GP43).
• Not on the Appendix J virtual care lists, so not payable as virtual care (AJ1–AJ2).

Common rejections

• A4D: 'Invalid specialty for this service code': these codes are for Obstetrics and Gynaecology (20). Specialists must bill from their own specialty's listings (GP9).
• AHF: 'Concurrent or supportive care same period': concurrent care was billed in a period where the limits or another concurrent/supportive care claim already apply (GP48).
• AM1: 'Service limit exceeded': more than 4 concurrent care visits in the first week, or 2 a week after (GP48).

Related codes: C205, C203, C202, C207, C209, C121

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Obstetrics and Gynaecology (20), page A151.

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