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B990 – First person seen - Patient's Home - Weekdays Daytime (07:00-17:00) or Elective home visit

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Billed by time of day

Special visit: Patient's Home (not long-term care), first person seen. By when the visit starts. Schedule of Benefits GP75.. Toronto time.

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Special visit: Patient's Home (not long-term care), first person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • B990(this code)also the elective home visit, any time$28.25
  • B992with sacrifice of office hours$45.25
Weekday eveningMon–Fri 17:00–24:00
NightEvery day 00:00–07:00
Weekend or holidaySat, Sun & holidays 07:00–24:00
A premium for the first person seen during a non-elective special visit to a patient's home (other than a long-term care institution), for visits that commence on a weekday between 07:00 and 17:00; or for an elective home visit at any time. Fee $28.25 (max. 10 (total of first and additional person seen) 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.
The physician must travel from one location to the patient's home.
The service must be one of the eligible 'Consultations and Visits' or 'Diagnostic and Therapeutic Procedures' listed in the Schedule.
Usage limits
Maximum of 10 services per physician per day for B990 (combined total of non-elective and elective visits).

Multiple Resident Dwelling Rule: Only one B990 is eligible for payment regardless of the number of patients seen in one or more living units in a multiple resident dwelling (e.g., apartment block, retirement home, hostel, group home).

A multiple resident dwelling is defined as a single location sharing a common external building entrance or lobby.

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