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U993 – Additional person(s) seen - Hospital Out-Patient - Weekdays Daytime (07:00-17:00) with Sacrifice of Office Hours

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Billed by time of day

Special visit: Hospital Out-Patient Department, additional person seen. 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, additional person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • U991$20.55
  • U993(this code)with 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 a hospital out-patient department, for visits that commence on a weekday between 07:00 and 17:00 with sacrifice of office hours. Fee $41.10 (max. 10 (total of first and additional person seen) 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
[10, "day", "per_physician", "Maximum of 10 services total for first person seen (U992) and additional person(s) seen (U993) premiums combined, per physician, during the weekdays daytime period (07:00-17:00)."]

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.

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