General practice 13228 - Community based gp: hospital visit

General Info

Billing Amount: $30.00

Notes:

Payable once per calendar week per patient up to the first four weeks. Thereafter, payable once per two weeks up to a maximum of 90 days. For visits over 90 days please submit note record.

Payable for patients in acute, sub-acute care or palliative care.

Not payable with G14015 or any other visit fee including 00108, 13008, 00109, 00114, 00115, 00113, 00105, 00123, 00127, 12200, 13200, 15200, 16200, 17200, 18200, 12201, 13201, 15201, 16201, 17201, 18201, 00128, 13028, 13015, 12220, 13220, 15220, 16220, 17220, 18220, 00121, 00122, 12210, 13210, 15210, 16210, 17210, 18210, 00116, 00112, 00111.

iv) If physician is on-site and called for emergent care, fee items 00113, 00105 or 00123 are billable.
v) A written record of the visit must appear in either patient’s hospital or office chart.
vi) If a hospitalist is providing GP care to the patient, the community based GP with courtesy or associate hospital privileges may bill 13228.