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B992 – First person seen - Patient's Home - Weekdays Daytime (07:00-17:00) with Sacrifice of Office Hours

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
  • B990also the elective home visit, any time$28.25
  • B992(this code)with 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 with sacrifice of office hours. Fee $45.25 (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 time at which the special visit takes place must be documented on the medical record.
Usage limits
OR([1, "per_visit", "per_physician", "Eligible only for the first patient seen, regardless of the number of patients seen during one visit to a home or to one or more living units in a multiple resident dwelling."], [10, "per_time_period", "per_physician", "Maximum of 10 services per physician for the combination of first (B992) and additional person seen premiums during the weekday daytime (07:00-17:00) time period with sacrifice of office hours."])

Special visit to patient's home premiums are only eligible for payment for first patient seen, regardless of number of patients seen during one visit to a home or to one or more living units in a multiple resident dwelling.

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