B986 – Travel Premium - Geriatric Home Visit
OHIP Paediatrics Code — GENERAL PREAMBLE · Schedule of Benefits
A travel premium payable to a qualifying physician for travel to a patient's home to conduct a geriatric home visit for a patient aged 75 years or older.
When to Use
- Bill B986 when you travel to a patient's private residence to perform a geriatric home visit for a patient aged 75 or older, and this is the first patient you are seeing on that specific trip.
- Use B986 when the geriatric home visit requires you to travel between different patient homes on the same day, as it is payable per trip, not per patient.
Common Pitfalls
- Do not bill B986 if the travel is within the same building complex (e.g., a retirement home or hospital campus), as this is not considered a separate trip.
- Avoid billing B986 if the visit occurs immediately before, during, or after routine office hours, even if it's on a weekend or holiday, unless it meets the criteria for B987 (Sacrifice of Office Hours).
Billing Tips
- Always submit B986 with the appropriate assessment code (A-prefix) and the 'first person seen' premium (B988).
- Ensure the time of the special visit is documented on the medical record, as required for all special visit premiums.
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.
B986 applies to all time periods in Table X: Weekdays Daytime, Weekdays Evenings, Daytime Sat/Sun/Holidays, Nights, and Sacrifice of Office Hours.
Special visit premiums are not eligible for payment with services described by emergency department 'H' prefix fee codes.
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