W997 – Additional person(s) 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, additional 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 |
|
Special visit premiums are not eligible for payment for elective services rendered at a long-term care institution, including a nursing home or home for the aged, even when the long-term care institution is the "home" of the patient. 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.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.