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K991 – Additional person(s) seen - Emergency Department - Weekdays Daytime (07:00-17:00)

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

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Billed by time of day

Special visit: Emergency Department (not an ED physician), additional person seen. By when the visit starts. Schedule of Benefits GP70.. Toronto time.

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Special visit: Emergency Department (not an ED physician), additional person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • K991(this code)$20.55
  • K993with sacrifice of office hours$41.10
Weekday eveningMon–Fri 17:00–24:00
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 the Emergency Department (not payable to Emergency Department Physicians, ), for visits that commence on a weekday between 07:00 and 17:00. Fee $20.55 (max. 10 (total of first and additional person seen) per time period). Schedule of Benefits Special Visit Premium Table I, Emergency Department (not an ED physician) (). 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.
K960K990K992K993K994K995K996K997K998K999K961K962K963K964

An additional person premium is only eligible for payment for services rendered at the destination to additional patients seen in emergency departments, outpatient departments, long-term care institutions or to hospital inpatients, provided that each additional patient service is commenced during the eligible times.

This premium is for an 'Additional Person(s) seen' during 'Weekdays Daytime (07:00-17:00)'.

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