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W996
W996 – First person seen - Long-Term Care - Nights (00:00-07:00)
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 | |
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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 the first person seen during a non-elective special visit to a long-term care institution, 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 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.
When a special visit service occurs in a long-term care institution where common medical records are maintained, the time when the visit takes place may be documented anywhere in the common medical record.
A special visit is a visit initiated by a patient or an individual on behalf of the patient for the purpose of rendering a non-elective service.
This premium is eligible for payment for the first person seen at the 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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