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C995 – Additional person(s) 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, additional person seen. By when the visit starts. Schedule of Benefits GP72.. Toronto time.

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Special visit: Hospital In-Patient, additional person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • C991$20.55
  • C993with sacrifice of office hours$41.10
Weekday eveningMon–Fri 17:00–24:00
  • C995(this code)$61.70
NightEvery day 00:00–07:00
Weekend or holidaySat, Sun & holidays 07:00–24:00
A premium for each additional person seen during the same 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.
The time at which the special visit takes place must be documented on the medical record.

Special visit premiums consist of a 'travel premium' and a 'patient seen' premium (either a 'first person seen premium' or an 'additional person seen premium'). C995 is an additional person seen premium.

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