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Billing code

C318A — Physiatry concurrent care – hospital in-patient

Physiatry concurrent care visit

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

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

Code

C318A

Description

Physiatry 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

Routine in-hospital visit by a consulting physiatrist who keeps directing care while the family physician stays the MRP.

What it covers

Concurrent care is any routine assessment in hospital by the consultant after their first major assessment, when the family physician remains the MRP but asks the consultant to continue directing care (GP48).

C318 is the Physical Medicine & Rehabilitation (31) concurrent care code, billed per visit (A178).

Billing rules

• Limited to 4 claims per week in the first week of concurrent care, then 2 per week. Extra visits are not paid (GP48).
• Only for the consultant after their first major assessment; the family physician must remain the MRP (GP48).
• Non-emergency hospital in-patient service. For emergency calls and other special visits to in-patients, use the General Listings (A prefix) with premiums (A178, GP65–GP78).

Common rejections

• AHF: OHIP describes this as 'Concurrent or Supportive Care Same Period': the weekly concurrent care limit (4 in week one, then 2 a week) was likely exceeded (GP48).

Related codes: C312, C315, C268, C121, C982

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Physical Medicine & Rehabilitation (31), page A178.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing