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C108 – First person seen - Non-elective diagnostic services

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Special visit premium for non-elective diagnostic services: first person seen, Sat., Sun. and Holidays (07:00-24:00), $77.10 (max. 6 per time period). These special visit premiums are only eligible for payment if the request for the interpretation relates to a patient's condition requiring urgent interpretation that affects the patient's management.
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.
Usage limits
Maximum of 6 per time period (Sat., Sun. and Holidays 07:00-24:00).

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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