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C102 – Travel Premium

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

A travel premium for a special visit to provide non-elective diagnostic services. Eligibility: • Physician: Specialists in Diagnostic Radiology (33), Radiation Oncology (34), or Nuclear Medicine (63). • Location: Service must be rendered to an acute care hospital in-patient, out-patient, or emergency department patient. • Time: The visit must be during weekday evenings, from 17:00h to 24:00h. • Service Type: The visit must be for a non-elective purpose, such as interpreting diagnostic results, performing a procedure, rendering a diagnostic radiology or nuclear medicine consultation, or concluding a procedure is not medically indicated. The request must relate to a patient's condition requiring urgent interpretation that affects the patient's management. • Applicable Services: This premium is payable with services from the following sections: • Nuclear Medicine • Radiation Oncology • Diagnostic Radiology • Clinical Procedures Associated with Diagnostic Radiological Examinations • Magnetic Resonance Imaging (MRI) • Diagnostic Ultrasound Payment Rules & Limitations: • This premium is for travel to the hospital and is not eligible for payment for services rendered remotely (e.g., via PACS) or for travel within the same hospital complex. • This premium is not eligible for payment in addition to any other special visit premium for the same special visit. • General special visit rules from - apply.
The time at which the special visit takes place must be documented on the medical record.

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