E080First visit after hospital discharge premium, to other service listed in payment rule 5 below add
GENERAL PREAMBLE · FIRST VISIT BY PRIMARY CARE PHYSICIAN AFTER HOSPITAL DISCHARGE
$25.90What this reference tells you
E080 identifies the Ontario insured service described as “First visit after hospital discharge premium, to other service listed in payment rule 5 below add.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- 2.E080 is not eligible for payment if the admission to hospital was for the purpose of obstetrical delivery unless the mother required admission to an ICU during the hospital stay.
- 3.E080 is not eligible for payment if the admission to hospital was for the purpose of newborn care unless the infant required admission to a NICU during the hospital stay.
- 4.E080 is not eligible for payment if the admission to hospital was for the purpose of performing day surgery.
Before using this code
Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.