Billing code
C353A — Urology specific assessment – hospital in-patient
Urology in-patient specific assessment
Bill when a urologist takes a full history of the complaint and examines the affected parts or systems of a hospital in-patient.
Watch for: One per patient per physician per 12 months, two only for a clearly unrelated diagnosis; virtual care must be video.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $51.45 | $0.00 | $0.00 | $0.00 |
- Code
- C353A
- Description
- Urology specific assessment – 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
Specific assessment by a urologist for a hospital in-patient.
What it covers
A specific assessment needs a full history of the presenting complaint and a detailed exam of the affected part(s), region(s) or system(s) (GP23).
Starred (*) urology consults and assessments may include a genito-urinary exam and, when needed, urethral calibration, catheterization and prostatic fluid examination, but not endoscopy (A207).
Billing rules
- C-prefix codes are for non-emergency services to acute hospital in-patients; emergency calls and special visits to in-patients use the A-prefix General Listings with premiums (A206, GP12).
- Limited to one per patient per physician per 12 months; two if a clearly different, unrelated diagnosis is made (GP23).
- A surgeon may bill the hospital admission assessment only if it is the major pre-operative visit (SP2).
- By video only, and for in-patients only when you aren't the MRP, no local physician with the expertise is available, and the referrer assessed the patient in person within the prior 30 days (Appendix J, A66).
Common rejections
- AT2: OHIP describes this as 'Must Include Video Modality': this code is on the video-only virtual care list, so it can't be billed by telephone (K301A) (Appendix J).
Related codes: C354, C355, A353, C352
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Urology (35), Non-emergency hospital in-patient services, page A206.
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