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B962
B962 – Travel Premium - Patient's Home - Evenings (17:00-24:00) Monday through Friday
OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits
Billed by time of day
Special visit: Patient's Home (not long-term care), travel premium. By when the visit starts. Schedule of Benefits GP75.. 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 travel premium for a non-elective special visit to a patient's home (other than a long-term care institution), for visits that commence Monday to Friday between 17:00 and 24:00. Fee $37.40 (max. 2 per time period). Schedule of Benefits Special Visit Premium Table VI, Patient's Home (not long-term care) (). The time the special visit takes place must be documented in the medical record (). B960 and B990 maximums per physician per day count non-elective and elective visits together. Not payable with A007 or A001 rendered in the home. Bill with the appropriate A-prefix assessment from the General Listings.
For fee codes listed in Tables I, II, III, IV, VI, VII, VIII, IX and X the time at which the special visit takes place must be documented on the medical record.
Submit claims using the appropriate A-prefix assessment fee from the “General Listings” for an assessment rendered in conjunction with a special visit premium.
Usage limits
Maximum of 2 per time period (Saturdays, Sundays, and Holidays 00:00-24:00).
A multiple resident dwelling is defined as a single location sharing a common external building entrance or lobby (e.g., apartment block, retirement home, hostel, correctional facility).
For A001 or A007 rendered in a patient's home, travel is considered a common element and is not separately billable via B962.
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