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K997
K997 – Additional person(s) 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), additional person seen. By when the visit starts. Schedule of Benefits GP70.. Toronto time.
Pick a date and time to see which code applies.
| Weekday daytimeMon–Fri 07:00–17:00 | |
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| Weekday eveningMon–Fri 17:00–24:00 |
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| NightEvery day 00:00–07:00 |
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| Weekend or holidaySat, Sun & holidays 07:00–24:00 |
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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 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.
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, emergency department or long-term care institution where common medical records are maintained, the time when the visit takes place may be documented anywhere in the common 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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