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U963 – Travel Premium - Hospital Out-Patient - Sat., Sun. and Holidays (07:00-24:00)

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Billed by time of day

Special visit: Hospital Out-Patient Department, travel premium. By when the visit starts. Schedule of Benefits GP71.. Toronto time.

Pick a date and time to see which code applies.

Special visit: Hospital Out-Patient Department, travel premium by time period
Weekday daytimeMon–Fri 07:00–17:00
  • U960$37.40
  • U961with 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
  • U963(this code)$37.40
A travel premium for a non-elective special visit to a hospital out-patient department, for visits that commence on a Saturday, Sunday or holiday between 07:00 and 24:00. Fee $37.40 (max. 6 per time period). Schedule of Benefits Special Visit Premium Table II, Hospital Out-Patient Department (). 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
[6, "day", "per_physician", "Maximum of 6 travel premiums per physician for Saturdays, Sundays, and Holidays between 07:00-24:00. Only one travel premium is eligible per trip to a destination."]

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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