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C999C

C999CNights special visit premium

OHIP Surgical Procedures Code — ANAESTHESIOLOGISTS’ SERVICES · Schedule of Benefits

A flat fee special visit premium payable to an anaesthesiologist who is required to travel to a hospital to administer an anaesthetic for a non-elective case that commences at night (00:00h to 07:00h). This premium is for the first patient seen on each special visit. It is payable in addition to the anaesthetic fee and after-hours premiums such as E401C. General requirements for special visits are found on pages to .

When to Use

  • Use C999C when you are called into the hospital specifically for an emergency surgical case starting between 00:00 and 07:00.
  • Apply this code for the first patient of the night when you are required to travel to the facility to provide anaesthesia for a non-elective procedure.

Common Pitfalls

  • Billing C999C for subsequent patients seen during the same trip to the hospital; it is strictly limited to the first patient per special visit.
  • Failing to document the exact start time of the anaesthetic in the medical record, which is a mandatory requirement for audit compliance under GP69.
  • Confusing C999C with E401C; remember that E401C is a percentage-based anaesthetic fee modifier, whereas C999C is a flat-fee premium for the special visit itself.

Billing Tips

  • Always pair C999C with E401C for night-time emergency cases to maximize the eligible premium structure for anaesthesiology services.
  • Ensure your claim submission clearly reflects the non-elective nature of the case, as C999C is not applicable for scheduled or elective procedures.

No fee information available.

Since Apr 2004, this fee has decreased NaN% vs 58.5% CPI inflation
Category

GP. General Preamble

Subcategory

ANAESTHESIOLOGISTS’ SERVICES

Service Type

Premium

Code Classes

Anaesthesiologists' Services

The time at which the special visit takes place must be documented on the medical record.

Eligible for payment only for the first patient seen on each special visit.

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