C108 – First person seen - Nights
OHIP Surgical Procedures Code — GENERAL PREAMBLE · Schedule of Benefits
A special visit premium payable to specialists in Diagnostic Radiology, Radiation Oncology, or Nuclear Medicine for the first patient seen during the night (00:00-07:00) for non-elective diagnostic services in an acute care hospital.
When to Use
- Use C108 when you are physically called into the hospital between 00:00 and 07:00 to perform an urgent, non-elective diagnostic interpretation or procedure for the first patient of the night.
- Use C108 if you arrive at the hospital for an urgent request but determine, after assessment, that the diagnostic procedure is not medically indicated.
Common Pitfalls
- Billing C108 for interpretations performed remotely via PACS; the premium is strictly for on-site hospital attendance.
- Attempting to bill C108 in addition to C106 for the same patient; C108 is strictly for the first patient, while C106 is reserved for subsequent patients seen during the same visit.
- Billing C108 for routine rounds or elective diagnostic services, which are explicitly excluded from special visit premium eligibility.
Billing Tips
- Always pair C108 with the C103 travel premium if you had to travel to the hospital specifically for the visit, ensuring the time of arrival is documented to support the night-time designation.
Effective: April 1, 2025
GP. General Preamble
GENERAL PREAMBLE
Special Visit
Premium
The visit must be for the purpose of interpreting results, performing a procedure, rendering a consultation, or concluding a procedure is not medically indicated.
The request for interpretation must relate to a patient’s condition requiring urgent interpretation that affects the patient’s management.
The service must be non-elective.
Payable in addition to the appropriate diagnostic radiology or nuclear medicine consultation, interpretation, or procedural fee.
May be billed by itself if the decision is made not to perform the procedure after the visit.
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