C998C – Anaesthesia special visit premium - Evenings or non-elective surgery with sacrifice of office hours
OHIP Surgical Procedures Code — ANAESTHESIOLOGISTS’ SERVICES · Schedule of Benefits
Anaesthesia special visit premium payable when an anaesthesiologist is required to travel to a hospital to administer an anaesthetic for a non-elective case that commences during evenings (17:00h - 24:00h) Monday to Friday, or for non-elective surgery requiring sacrifice of office hours on weekdays (07:00h - 17:00h). This premium is eligible for payment only for the first patient seen on each special visit. This premium is payable in addition to the after-hours premiums E400C or E401C. All general requirements for special visits as described on pages to must be met.
When to Use
- Use for non-elective cases starting between 17:00 and 24:00 on weekdays where you must travel specifically to the hospital to provide the anaesthetic.
- Use for non-elective daytime surgery (07:00-17:00) on weekdays that forces you to cancel or reschedule pre-booked office hours to attend the hospital.
Common Pitfalls
- Billing C998C for subsequent patients during the same hospital visit, as it is strictly limited to the first patient seen per special visit.
- Attempting to claim this premium for elective cases, which are explicitly excluded under the General Preamble rules for special visits.
- Failing to document the specific start time of the anaesthetic, which is a mandatory audit requirement for all special visit premiums.
Billing Tips
- Always pair C998C with the appropriate after-hours premium (E400C) to maximize the claim for evening non-elective cases.
- Ensure your documentation clearly reflects the 'non-elective' nature of the surgery to justify the special visit premium over standard elective anaesthesia billing.
No fee information available.
GP. General Preamble
ANAESTHESIOLOGISTS’ SERVICES
Premium
Anaesthesiologists' Services, Special Visit Premiums (Table III - Hospital In-Patient)
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.
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