1What Is the C723 OHIP Code?
What is C723?
C723 is an OHIP billing code designated for medical specific assessments conducted by occupational medicine specialists on hospital in-patients. This code is applicable when evaluating patients with potential work-related conditions, such as acute chemical exposure or inhalational injuries. These assessments are crucial in thoroughly understanding the patient's presenting complaint, conducting a detailed examination, and formulating or excluding a medical diagnosis.
The code is often missed due to misunderstandings about the distinct context where it can be billed, specifically its restriction to in-patient hospital settings and the necessity for a documented comprehensive history and physical examination.
2Related Codes
| Code | Name | Frequency | Description |
|---|---|---|---|
| A723 | A723 Medical specific assessment | Refer to out-patient equivalent settings in Occupational Medicine. | Out-patient equivalent of C723. |
| A721 | A721 Complex medical specific re-assessment | For complex re-assessments in Occupational Medicine settings. | Used for complex reassessments, different scenarios. |
| A724 | A724 Medical specific re-assessment | Occurs post an initial assessment in Occupational Medicine settings. | Standard re-assessment following initial assessments. |
| C721 | C721 Complex medical specific re-assessment | Applicable for complex hospital-based re-assessments. | Complex scenarios requiring re-assessment in hospital settings. |
3Eligibility Requirements
Eligibility Requirements for C723
- Setting: The assessment must be conducted in a hospital in-patient setting.
- Frequency: Limited to one per patient per physician per 12-month period unless:
- A second, clearly different diagnosis is made, unrelated to the first within the same period.
- At least 90 days have elapsed since the last assessment, and the second is a hospital admission assessment.
- Virtual Care: Can be billed as C723A if delivered via video only; telephone consultations are not eligible.
- Documentation: Start and end times of the assessment are required in the patient's permanent medical record.
4What Your Clinical Note Must Show
Physicians must ensure complete documentation of the service rendered.
- Record the detailed history and examination conducted.
- Ensure start and end times are noted in the patient's medical record.
- Include reasons for assessment related to the occupational context.
5Weak vs. Strong Note Examples
The strong note provides a detailed, context-specific overview linking the patient's occupational history with the clinical findings, whereas the weak note lacks specificity and depth.
Assessed patient. Evaluation of exposure symptoms. Follow-up as needed.
Comprehensive specific assessment conducted on patient admitted with suspected chemical exposure. Detailed history included exposure type, timing, symptoms, and work-related context. Thorough examination of respiratory and dermatological systems undertaken.
Developed differential diagnosis considering occupational illness, planned follow-up assessments, and coordination with workplace safety protocols.
- Clear delineation of assessment findings
- Occupational context and injury linkage
- Comprehensive history and physical examination details
