All codes
W994
W994 – First person seen - Long-Term Care - Evenings (17:00-24:00) Monday through Friday
OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits
Billed by time of day
Special visit: Long-Term Care Institution, first person seen. By when the visit starts. Schedule of Benefits GP73.. Toronto time.
Pick a date and time to see which code applies.
| Weekday daytimeMon–Fri 07:00–17:00 | |
|---|---|
| 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 the first person seen during a non-elective special visit to a long-term care institution, for visits that commence Monday to Friday between 17:00 and 24:00. Fee $61.70 (max. 10 (total of first and additional person seen) per time period). Schedule of Benefits Special Visit Premium Table IV, Long-Term Care Institution (). 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.
Special visit premiums are not eligible for payment for elective services rendered at a long-term care institution, including a nursing <term>home</term> or <term>home</term> for the aged, even when the long-term care institution is the "<term>home</term>" of the patient. Submit claims for routine elective visits in these locations as subsequent visits.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.