1What Is the C662 OHIP Code?
What is C662?
C662 represents an extended special pediatric consultation and is primarily used for assessing medically complex pediatric inpatients in Ontario hospitals. The service includes reconciling subspecialty evaluations, managing intricate medical conditions, or coordinating home discharge plans.
Often missed due to confusion with C662's outpatient equivalent, A662, it’s vital to ensure usage of C662 is confined to inpatients. This code encapsulates scenarios where standard consultations, like those captured under A260 or A565, are insufficient without a comprehensive, detailed evaluation.
2Related Codes
| Code | Name | Frequency | Description |
|---|---|---|---|
| A260 | Special paediatric consultation | One per patient every 12 months | Used for standard special consultations in an outpatient or routine setting. |
| A265 | Consultation | Varies | Applicable for non-special consultation requirements. |
| A266 | Repeat consultation | Reuse based on specific follow-up needs | For follow-up consultations after initial evaluation. |
| A565 | Limited consultation | As clinically justified | Limited scope consultations with reduced complexity. |
3Eligibility Requirements
C662 Eligibility Requirements
- Frequency: One service per 12 months per patient, per physician. Exceptions allow two services within a 24-month period if the second service is for a hospital inpatient between 12 and 24 months after the first.
- Virtual Care: Eligibility includes video consultations (coded as C662A). Telephone consultations are not covered.
- Documentation: Record the start and stop time in the patient’s medical record; payment defaults to a lesser fee otherwise.
Repeated or misaligned use of this service defaults to alternative consultation codes as per applicable scenarios.
4What Your Clinical Note Must Show
Ensure detailed recording for compliance.
- Record the start and stop time of the consultation.
- Maintain clear justification of the complexity requiring C662.
- Failure to document appropriately will default reimbursement to a lower rate.
5Weak vs. Strong Note Examples
The strong note succeeds because it specifies consultation duration, coordination complexity, and documents consultation details, meeting coverage prerequisites.
Consultation performed due to patient complexity.
Detailed 60-minute consultation conducted to integrate subspecialty recommendations for complex in-patient management.
Plan formulated involves coordination of medication adjustments and transition planning for discharge.
- Recorded detailed start and end time within the patient's hospital admission notes.
- Enumerated the specific subspecialist inputs that required integration.
