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W995
W995 – Additional person(s) 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, additional person seen. By when the visit starts. Schedule of Benefits GP73.. Toronto time.
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| Weekday daytimeMon–Fri 07:00–17:00 | |
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| Weekday eveningMon–Fri 17:00–24:00 |
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| NightEvery day 00:00–07:00 |
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| Weekend or holidaySat, Sun & holidays 07:00–24:00 |
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A premium for each additional person seen during the same 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.
Submit claims for routine elective visits in these locations as subsequent visits. For example, if the physician is called to a nursing home to see a patient for a non-elective problem at 8AM, and subsequently sees his/her routine patients on rounds, those additional patients do not qualify for the additional person premium.
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