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A996
A996 – First person seen - Physician Office - Nights (00:00-07:00)
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.
Pick a date and time to see which code applies.
| Weekday daytimeMon–Fri 07:00–17:00 |
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| Weekday eveningMon–Fri 17:00–24:00 |
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| NightEvery day 00:00–07:00 |
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| Weekend or holidaySat, Sun & holidays 07:00–24:00 |
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A premium for the first person seen during a non-elective special visit to the physician's office, for visits that commence between 00:00 and 07:00 on any day. Fee $102.80 (no max. 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 at which the special visit takes place must be documented on the medical record.
Usage limits
OR([1, "per_night_period", "per_physician", "No maximum per time period (00:00h - 07:00h)."])
Submit claims using the appropriate A-prefix assessment fee from the “General Listings” for an assessment rendered in conjunction with a special visit premium.
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