B960 – Travel Premium
OHIP Paediatrics Code — GENERAL PREAMBLE · Schedule of Benefits
A travel premium payable for a special visit to a patient's home (other than a Long-Term Care Institution) for the purpose of rendering a non-elective service during weekday daytime hours, or an elective service.
When to Use
- Bill B960 for a physician's travel to a patient's private residence during weekday daytime hours to provide an urgent, non-elective assessment (e.g., a sudden, severe illness requiring immediate attention).
- Use B960 when a physician travels to a patient's home during weekday daytime hours for a scheduled, elective visit, such as a post-operative check-up for a patient unable to travel to the office.
- B960 is appropriate for a physician making a special trip to a patient's home during weekday daytime hours to manage a chronic condition that has acutely worsened, provided the visit is initiated by the patient or their representative.
Common Pitfalls
- Claiming B960 for visits to patients in hospitals or Long-Term Care Institutions, which are specifically excluded.
- Billing B960 in conjunction with A001 or A007 when the service is rendered in the patient's home; travel is included in these assessment codes.
- Submitting B960 for visits outside of weekday daytime hours (e.g., evenings, nights, weekends) without using the appropriate alternative travel premium codes like B961, B962, or B964.
Billing Tips
- Ensure the medical record clearly documents the time of the special visit and confirms the visit was initiated by the patient or their representative.
- Remember that B960 can be billed with B990 (First person seen premium - Home Visit) when it is the first patient seen during a home visit trip, but only one travel premium is allowed per trip.
Effective: April 1, 2026
GP. General Preamble
GENERAL PREAMBLE
GP. General Preamble
Premium
The visit must be initiated by the patient or someone on their behalf.
The time at which the special visit takes place must be documented in the medical record.
The service must be rendered with certain services listed under 'Consultations and Visits' or 'Diagnostic and Therapeutic Procedures'.
Only one travel premium is eligible for payment for each separate trip to a destination regardless of the number of patients seen.
Travel to visit an insured person outside of the physician's usual geographical area of practice is an uninsured service.
Not eligible for travel within the same long-term care facility, hospital complex, or buildings on the same hospital campus.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.