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C109
C109 – First person seen - Evenings (17:00-24:00) Monday through Friday
OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits
The C109 is a 'first person seen' special visit premium for non-elective diagnostic services rendered in a hospital. It is payable to specialists in Diagnostic Radiology, Radiation Oncology, or Nuclear Medicine for a visit to an acute care hospital in-patient, out-patient, or emergency department patient. The special visit must be for the purpose of interpreting the results of a diagnostic service, performing a procedure, rendering a diagnostic radiology or nuclear medicine consultation, or to conclude that a procedure is not medically indicated. This premium applies to services rendered during evenings (17:00-24:00) from Monday to Friday. It is payable in addition to the fee for the primary diagnostic service, or by itself if the decision is made not to perform the procedure. A key condition for payment is that the request for the service must relate to a patient's condition requiring urgent interpretation that affects the patient's management.
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