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K996 – First person seen - Emergency Department - Nights (00:00-07:00)

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Billed by time of day

Special visit: Emergency Department (not an ED physician), first 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), first person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • K990$20.55
  • K992with sacrifice of office hours$41.10
Weekday eveningMon–Fri 17:00–24:00
NightEvery day 00:00–07:00
  • K996(this code)$102.80
Weekend or holidaySat, Sun & holidays 07:00–24:00
A premium for the first person seen during a non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, ), for visits that commence between 00:00 and 07:00 on any day. Fee $102.80 (no max. 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.
For fee codes listed in Table I, the time at which the special visit takes place must be documented on the 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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