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Billing code

C247A — Otolaryngology in-patient subsequent visit – weeks 6 to 13

Otolaryngology hospital visit, weeks 6–13

Bill for an otolaryngologist's routine hospital visit from the 6th to the 13th week of the stay.

Watch for: Maximum 3 per patient per week; bill an extra visit for an acute intercurrent illness as C121 instead.

Code

C247A

Description

Otolaryngology in-patient subsequent visit – weeks 6 to 13

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 hospital visit by an otolaryngologist from the sixth to thirteenth week of the stay; up to 3 per patient per week.

What it covers

C247 is the subsequent in-patient visit by an otolaryngologist from the sixth to the thirteenth week inclusive, maximum 3 per patient per week (A166).

A subsequent visit is any routine assessment in hospital after the admission assessment (GP43).

Billing rules

• Maximum 3 per patient per week; visits over the limit are not payable (A166, GP43).
• After 5 weeks, a visit needed for an acute intercurrent illness beyond the limit is C121, which isn't subject to the weekly limit (GP43).
• If the patient was referred to you in hospital, count from the date you first assessed them; if care was transferred to you, count from the actual admission date (GP43).
• For surgeons, the count starts from the admission date if you admitted the patient, or from the referral date if referred to you in hospital (SP2).
• As the MRP you can add E083 (+30%) to subsequent visits, if the hospital-payment condition is met. E084 (weekend) doesn't apply to specialty 24 (GP47).
• Seeing another physician's patient on an emergency basis uses the General Listings (A prefix) (GP43).

Often billed with

• E083 subsequent visit by the MRP premium (GP47).

Common rejections

• AM1: OHIP describes this as 'Service limit exceeded': more than 3 subsequent visits in a week during weeks 6–13 (GP43).

Related codes: C242, C249, C121, C248

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Otolaryngology (24), page A166.

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