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U997 – Additional person(s) seen - Hospital Out-Patient - Nights (00:00-07:00)

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.

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Special visit: Hospital Out-Patient Department, additional person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • U991$20.55
  • U993with sacrifice of office hours$41.10
Weekday eveningMon–Fri 17:00–24:00
NightEvery day 00:00–07:00
  • U997(this code)$102.80
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 between 00:00 and 07:00 on any day. Fee $102.80 (no max. 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.

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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