1What Is the C623 OHIP Code?
C623 is a billing code used for medical specific assessments conducted by allergists and immunologists in a hospital in-patient setting. This assessment typically addresses one immunologic question during a patient's hospital stay, such as evaluating recurrent infection patterns that may require an immune workup before discharge.
Physicians utilize C623 to ensure in-depth analysis and appropriate management strategies in complex immunologic cases, where a thorough in-patient assessment is crucial for effective treatment planning.
A common challenge with C623 is ensuring compliance with virtual service restrictions as the code is only eligible for 'VIDEO ONLY' virtual care and can't be billed for telephone consultations.
2Related Codes
| Code | Name | Frequency | Description |
|---|---|---|---|
| A623 | A623 Medical specific assessment | Refer to specialty listing | Used for medical specific assessments rendered outside hospital in-patient settings. |
| A621 | A621 Complex medical specific re-assessment | Refer to specialty listing | Covers complex re-assessments within Clinical Immunology specialty. |
| A624 | A624 Medical specific re-assessment | Refer to specialty listing | Used for medical specific re-assessments under Clinical Immunology. |
| C621 | C621 Complex medical specific re-assessment | Refer to specialty listing | For complex re-assessments within an in-patient setting for Clinical Immunology. |
3Eligibility Requirements
For eligibility under OHIP guidelines, C623 can be billed as C623A when the assessment is performed virtually through video conferencing, as per Appendix J, Section 1 for eligible comprehensive virtual care services. Note that virtual assessments via telephone are not eligible.
The service is rendered as A623 for equivalent assessments performed outside hospital in-patient settings.
4What Your Clinical Note Must Show
Ensure meticulous record-keeping as per OHIP mandates, detailing the nature and findings of the medical assessment.
- Patient identification (name, health number)
- Date of service
- Location (hospital in-patient setting)
- Clinical findings and relevant immunologic questions addressed
- Assessment method (video if billed as C623A)
5Weak vs. Strong Note Examples
The strong note clearly documents the patient information, clinical findings, and specific immunologic considerations, ensuring comprehensive and compliant billing.
Patient assessed for recurrent infections.
Plan to conduct tests later.
Patient Mr. Smith, admitted with a history of recurrent infections. Performed a thorough immunologic assessment focusing on potential immune deficiencies.
Key findings included low IgG levels, suggestive of an immune workup requirement prior to discharge.
- Patient admitted and seen on [date]
- Assessment findings: [details]
- Discussed potential immune deficiencies
