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Billing code

C248A — Otolaryngology concurrent care (in-patient)

Otolaryngology concurrent care visit

Bill for a consulting otolaryngologist's routine hospital visit while the family physician stays most responsible and asks for continued care.

Watch for: Limited to 4 claims in the first week, then 2 per week; if you become the most responsible physician, bill subsequent visits.

Code

C248A

Description

Otolaryngology concurrent care (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 hospital visit by a consulting otolaryngologist who continues directive care while the family physician stays most responsible.

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).

C248 is the Otolaryngology listing, per visit (A166).

Billing rules

• Limit: 4 claims per week in the first week of concurrent care, then 2 per week. Excess is not payable (GP48).
• If you take over as the MRP, use subsequent visit codes (C242, C247, C249) instead (GP43, GP48).
• In-patient visits: see GP40–GP48. For emergency calls and special visits to in-patients, use the General Listings (A prefix) and premiums (A166).

Common rejections

• AHF: OHIP describes this as 'Concurrent or supportive care same period': concurrent care overlapped another visit type for the same period, or exceeded the weekly limit (GP48).

Related codes: C242, C245, C247, C249

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

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