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W998 – First person seen - Long-Term Care - Sat., Sun. and Holidays (07:00-24:00)

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.

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Special visit: Long-Term Care Institution, first person seen by time period
Weekday daytimeMon–Fri 07:00–17:00
  • W990$20.55
  • W992with sacrifice of office hours$41.10
Weekday eveningMon–Fri 17:00–24:00
NightEvery day 00:00–07:00
Weekend or holidaySat, Sun & holidays 07:00–24:00
  • W998(this code)$77.10
A premium for the first person seen during a non-elective special visit to a long-term care institution, for visits that commence on a Saturday, Sunday or holiday between 07:00 and 24:00. Fee $77.10 (max. 20 (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.

If a 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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