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Q963 – Travel Premium - Other Setting - Sat., Sun. and Holidays (07:00-24:00)

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Billed by time of day

Special visit: Other (non-professional setting not listed), travel premium. By when the visit starts. Schedule of Benefits GP77.. Toronto time.

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Special visit: Other (non-professional setting not listed), travel premium by time period
Weekday daytimeMon–Fri 07:00–17:00
  • Q960$37.40
  • Q961with sacrifice of office hours$37.40
Weekday eveningMon–Fri 17:00–24:00
NightEvery day 00:00–07:00
Weekend or holidaySat, Sun & holidays 07:00–24:00
  • Q963(this code)$37.40
A travel premium for a non-elective special visit to a non-professional setting not otherwise listed, for visits that commence on a Saturday, Sunday or holiday between 07:00 and 24:00. Fee $37.40 (max. 1 per time period). Schedule of Benefits Special Visit Premium Table IX, Other (non-professional setting not listed) (). 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.
Usage limits
OR([1, "day", "per_physician", "Maximum 1 per time period (Sat, Sun, Holidays 07:00-24:00)"])

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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