B966 – Travel Premium
OHIP Paediatrics Code — GENERAL PREAMBLE · Schedule of Benefits
A special visit premium payable for travel to a patient's home to provide palliative care services, as defined in the General Preamble.
When to Use
- Bill B966 when travelling to a patient's private residence to provide palliative care, specifically when the patient is in the final year of life and not receiving aggressive treatment.
- Use B966 in conjunction with an A-prefix assessment code (e.g., A001) when the visit is to a patient's home for palliative care, as distinct from a hospital or LTC setting.
- B966 is appropriate for travel to a patient's home for palliative care, even if the physician also bills A945 for the palliative care consultation itself.
Common Pitfalls
- Claims for B966 will be rejected if the physician travels between locations within the same hospital complex or long-term care facility, as this code is strictly for travel to a patient's home.
- Do not bill B966 if the patient is being seen during scheduled rounds at a hospital or long-term care institution, or if the visit occurs at a facility open for scheduled patient diagnosis or treatment.
- Ensure the patient meets the definition of palliative care (terminally ill, final year of life, no aggressive treatment) to justify the use of B966.
Billing Tips
- B966 can be billed in addition to B998 (First person seen - Weekdays, Evenings, Sat/Sun/Holidays) or B997 (First person seen - Nights) when applicable for the first patient seen during those specific time periods.
- Remember to document the time of the special visit on the medical record, as required for premium codes like B966.
Effective: April 1, 2026
GP. General Preamble
GENERAL PREAMBLE
Special Visit Premium
Premium
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 ()
A travel premium is only eligible for payment for travel from one location to another location ("the destination"). Not eligible for payment when a physician is required to travel from one location to another within the same long-term care facility, hospital complex or within buildings situated on the same hospital campus ()
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