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A990 – First person seen - Physician Office - Weekdays Daytime (07:00-17:00)

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Billed by time of day

Special visit: Physician Office, first person seen. By when the visit starts. Schedule of Benefits GP76.. Toronto time.

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Special visit: Physician Office, first person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • A990(this code)$20.55
Weekday eveningMon–Fri 17:00–24:00
NightEvery day 00:00–07:00
Weekend or holidaySat, Sun & holidays 07:00–24:00
A premium for the first person seen during a non-elective special visit to the physician's office, for visits that commence on a weekday between 07:00 and 17:00. Fee $20.55 (max. 1 per time period). Schedule of Benefits Special Visit Premium Table VIII, Physician Office (). The time the special visit takes place must be documented in the medical record (). Bill with the appropriate A-prefix assessment from the General Listings.
The time of the special visit must be documented on the medical record.
The service must be non-elective.
Usage limits
Maximum 1 per time period (Weekdays 07:00-17:00).

Special visit premiums are intended to compensate for the disruption and travel associated with non-elective emergency visits.

Table VIII (Physician Office) does not provide for 'additional person seen' premiums; only the first person seen is eligible.

Virtual care (video or telephone) is not eligible for special visit premiums.

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