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B996
B996 – First person seen - Patient's Home - Nights (00:00-07:00)
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.
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 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 between 00:00 and 07:00 on any day. Fee $113.10 (no max. 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 in the medical record.
The visit must be initiated by the patient or someone on their behalf for a non-elective service.
Usage limits
A 'multiple resident dwelling' (e.g., apartment block, retirement home, group home) is considered a single location. Only the first person seen in the entire building during that visit is eligible for B996.
If multiple patients are seen in the same home, no 'additional person' premium is available for home visits (unlike Hospital or LTC settings).
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