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C994 – First person seen - Hospital In-Patient - Evenings (17:00-24:00) Monday through Friday

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Billed by time of day

Special visit: Hospital In-Patient, first person seen. By when the visit starts. Schedule of Benefits GP72.. Toronto time.

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Special visit: Hospital In-Patient, first person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • C990$20.55
  • C992with sacrifice of office hours$41.10
Weekday eveningMon–Fri 17:00–24:00
  • C994(this code)$61.70
NightEvery day 00:00–07:00
Weekend or holidaySat, Sun & holidays 07:00–24:00
A premium for the first person seen during a non-elective special visit to a hospital in-patient ward, for visits that commence Monday to Friday between 17:00 and 24:00. Fee $61.70 (max. 10 (total of first and additional person seen) per time period). Schedule of Benefits Special Visit Premium Table III, Hospital In-Patient (). The time the special visit takes place must be documented in the medical record (). Bill with the appropriate A-prefix assessment from the General Listings.
For fee codes listed in Table III, the time at which the special visit takes place must be documented on the medical record.
When a special visit service occurs in a hospital where common medical records are maintained, the time when the visit takes place may be documented anywhere in the common medical record.

Submit claims using the appropriate A-prefix assessment fee from the “General Listings" for an assessment rendered in conjunction with a special visit premium.

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