Billing code
C570A — Complex respiratory assessment – hospital in-patient
Complex respiratory in-patient assessment
Bill for a respirologist's ongoing management of an in-patient with chronic respiratory failure, bronchiectasis, cystic fibrosis, or active TB or NTM disease.
Watch for: Not for uncomplicated disorders like routine COPD follow-up; limited to 6 per patient per physician per 12 months.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $105.25 | $0.00 | $0.00 | $0.00 |
- Code
- C570A
- Description
- Complex respiratory 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
Complex respiratory assessment for a hospital in-patient with chronic respiratory failure, bronchiectasis, cystic fibrosis, or TB or NTM disease.
What it covers
C570 is the in-patient version of A570, on the same conditions (A199): ongoing management by a respirologist of chronic respiratory failure, bronchiectasis with frequent infections, cystic fibrosis, active TB disease, or active non-tuberculous mycobacterial disease (A197).
It is not for uncomplicated respiratory disorders such as routine follow-up of uncomplicated COPD (A198).
Billing rules
- Must include the elements of a medical specific re-assessment, or it pays as a lesser assessment (A197).
- Limited to 6 per patient per physician per 12 months; extra services pay as a lesser assessment (A198).
- The chronic disease premium E078 is not payable for hospital in-patients (GP25).
- Virtual care: video only, not phone (AJ2). For an in-patient you must not be the MRP, the hospital must lack a local physician with the expertise (documented by the referrer), and for a consultation the referrer must have seen the patient in person within 30 days (A69).
Common rejections
- AT2: OHIP's message is 'Must Include Video Modality': this code is on the video-only list, so a phone claim (K301A) is refused (AJ2).
Related codes: A570, C474, C471, C473, C472
Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Respiratory Disease (47), page A199. Conditions at A197–A198.
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