What is OHIP billing code C985C?

C985C is "Special visit premium - weekends and holidays", an OHIP General Preamble code from the Ontario Schedule of Benefits (Physician Services).

How do I bill C985C to OHIP?

C985C is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates C985C claims against the Schedule of Benefits rules before submission.

What codes are related to C985C?

Codes related to C985C in the Schedule of Benefits include C998C, C999C, E400C, E401C.

All codes

C985C

C985C – Special visit premium - weekends and holidays

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

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Special visit premiums: anaesthesia services

By when the case starts. C998C covers both weekday daytime with sacrifice of office hours and evenings. Schedule of Benefits

Special visit premiums: anaesthesia services
Row	Weekday daytime07:00–17:00	Daytime, sacrifice of office hours07:00–17:00	EveningsMon–Fri 17:00–24:00	Sat, Sun, holidays07:00–24:00	Nights00:00–07:00
First patient seen	–	C998C$60.00	C998C$60.00	C985C (this code)$75.00	C999C$100.00

Anaesthesia special visit premium payable to an anaesthesiologist for the first patient seen on a special visit to a hospital to administer an anaesthetic. The case must commence on a Saturday, Sunday, or Holiday during daytime and evenings (07:00h - 24:00h). This premium requires the physician to travel, as defined on page . For general special visit requirements, see pages to . This premium is payable in addition to after-hours premiums like E400C.

C998C C999C E400C E401C

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