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By practice setting
Special visit & travel premiums OHIP billing codes
First-person-seen and travel premiums for non-elective visits, by setting and time of day. Not payable to Emergency Department Physicians on duty.
38 codes in 7 sections, fees from the current Schedule of Benefits.
Office
- A990First person seen - Physician Office - Weekdays Daytime (07:00-17:00)A premium for the first person seen during a non-elective special visit to the physician's office, for visits that commence on a weekday between 07:00 and 17:00.$20.55
- A994First person seen - Physician Office - Evenings (17:00-24:00) Monday through FridayA premium for the first person seen during a non-elective special visit to the physician's office, for visits that commence Monday to Friday between 17:00 and 24:00.$61.70
- A996First person seen - Physician Office - Nights (00:00-07:00)A premium for the first person seen during a non-elective special visit to the physician's office, for visits that commence between 00:00 and 07:00 on any day.$102.80
- A998First person seen - Physician Office - Sat., Sun. and Holidays (07:00-24:00)A premium for the first person seen during a non-elective special visit to the physician's office, for visits that commence on a Saturday, Sunday or holiday between 07:00 and 24:00.$77.10
Patient's home
- B990First person seen - Patient's Home - Weekdays Daytime (07:00-17:00) or Elective home visitA premium for the first person seen during a non-elective special visit to a patient's home (other than a long-term care institution), for visits that commence on a weekday between 07:00 and 17:00; or for an elective home visit at any time.$28.25
- B993First person seen - Patient's Home - Sat., Sun. and Holidays (07:00-24:00)A premium for the first person seen during a non-elective special visit to a patient's home (other than a long-term care institution), for visits that commence on a Saturday, Sunday or holiday between 07:00 and 24:00.$84.80
- B992First person seen - Patient's Home - Weekdays Daytime (07:00-17:00) with Sacrifice of Office HoursA premium for the first person seen during a non-elective special visit to a patient's home (other than a long-term care institution), for visits that commence on a weekday between 07:00 and 17:00 with sacrifice of office hours.$45.25
- B994First person seen - Patient's Home - Evenings (17:00-24:00) Monday through FridayA premium for the first person seen during a non-elective special visit to a patient's home (other than a long-term care institution), for visits that commence Monday to Friday between 17:00 and 24:00.$67.85
- B996First person seen - Patient's Home - Nights (00:00-07:00)A premium for the first person seen during a non-elective special visit to a patient's home (other than a long-term care institution), for visits that commence between 00:00 and 07:00 on any day.$113.10
- B997First person seen - Palliative Care Home Visit - Nights (00:00-07:00)A premium for the first person seen during a non-elective special visit to a patient's home for palliative care, for visits that commence between 00:00 and 07:00 on any day.$113.10
- B998First person seen - Palliative Care Home Visit - Any day 07:00-24:00 (weekdays, evenings, Sat., Sun. and Holidays)A premium for the first person seen during a non-elective special visit to a patient's home for palliative care, for visits that commence on any day between 07:00 and 24:00 (nights have their own code).$91.80
Hospital in-patient
- C990First person seen - Hospital In-Patient - Weekdays Daytime (07:00-17:00)A premium for the first person seen during a non-elective special visit to a hospital in-patient ward, for visits that commence on a weekday between 07:00 and 17:00.$20.55
- C992First person seen - Hospital In-Patient - Weekdays Daytime (07:00-17:00) with Sacrifice of Office HoursA premium for the first person seen during a non-elective special visit to a hospital in-patient ward, for visits that commence on a weekday between 07:00 and 17:00 with sacrifice of office hours.$41.10
- C994First person seen - Hospital In-Patient - Evenings (17:00-24:00) Monday through FridayA premium for the first person seen during a non-elective special visit to a hospital in-patient ward, for visits that commence Monday to Friday between 17:00 and 24:00.$61.70
- C996First person seen - Hospital In-Patient - Nights (00:00-07:00)A premium for the first person seen during a non-elective special visit to a hospital in-patient ward, for visits that commence between 00:00 and 07:00 on any day.$102.80
Long-term care
- W990First person seen - Long-Term Care - Weekdays Daytime (07:00-17:00)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 weekday between 07:00 and 17:00.$20.55
- W992First person seen - Long-Term Care - Weekdays Daytime (07:00-17:00) with Sacrifice of Office HoursA premium for the first person seen during a non-elective special visit to a long-term care institution, for visits that commence on a weekday between 07:00 and 17:00 with sacrifice of office hours.$41.10
- W994First person seen - Long-Term Care - Evenings (17:00-24:00) Monday through FridayA 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.$61.70
- W996First person seen - Long-Term Care - Nights (00:00-07:00)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.$102.80
Emergency department — first person seen
- K990First person seen - Emergency Department - Weekdays Daytime (07:00-17:00)A premium for the first person seen during a non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence on a weekday between 07:00 and 17:00.$20.55
- K992First person seen - Emergency Department - Weekdays Daytime (07:00-17:00) with Sacrifice of Office HoursA premium for the first person seen during a non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence on a weekday between 07:00 and 17:00 with sacrifice of office hours.$41.10
- K994First person seen - Emergency Department - Evenings (17:00-24:00) Monday through FridayA premium for the first person seen during a non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence Monday to Friday between 17:00 and 24:00.$61.70
- K996First person seen - Emergency Department - Nights (00:00-07:00)A premium for the first person seen during a non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence between 00:00 and 07:00 on any day.$102.80
- K998First person seen - Emergency Department - Sat., Sun. and Holidays (07:00-24:00)A premium for the first person seen during a non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence on a Saturday, Sunday or holiday between 07:00 and 24:00.$77.10
Emergency department — additional persons seen
- K991Additional person(s) seen - Emergency Department - Weekdays Daytime (07:00-17:00)A premium for each additional person seen during the same non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence on a weekday between 07:00 and 17:00.$20.55
- K993Additional person(s) seen - Emergency Department - Weekdays Daytime (07:00-17:00) with Sacrifice of Office HoursA premium for each additional person seen during the same non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence on a weekday between 07:00 and 17:00 with sacrifice of office hours.$41.10
- K995Additional person(s) seen - Emergency Department - Evenings (17:00-24:00) Monday through FridayA premium for each additional person seen during the same non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence Monday to Friday between 17:00 and 24:00.$61.70
- K997Additional person(s) seen - Emergency Department - Nights (00:00-07:00)A premium for each additional person seen during the same non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence between 00:00 and 07:00 on any day.$102.80
- K999Additional person(s) seen - Emergency Department - Sat., Sun. and Holidays (07:00-24:00)A premium for each additional person seen during the same non-elective special visit to the Emergency Department (not payable to Emergency Department Physicians, GP67), for visits that commence on a Saturday, Sunday or holiday between 07:00 and 24:00.$77.10
How to use this special visits code set
This is a working list, not the whole Schedule. It carries the codes the Ontario Schedule of Benefits ties to this setting — its own consultation and assessment codes, in-patient visits, premiums and the diagnostics or procedures that make up most of a day — sectioned the way a shift sheet reads. Codes open to every specialty that a special visits physician also bills (general assessments, forms, special visit premiums) live in the Family Practice and Special visit premiums sets.
Each code links to its full Schedule entry: fee history, restrictions, required diagnoses and the codes it can or cannot be billed with. Fees shown are the current provider or specialist fee; percentage premiums show the percentage they add to the base service.
Common questions
Which consultation or assessment code does special visit & travel premiums bill?
The office section of this set starts with A990 (First person seen - Physician Office - Weekdays Daytime (07:00-17:00)), which pays $20.55 under the current Ontario Schedule of Benefits. 4 codes are listed in that section.
What is in the Special visit & travel premiums code set?
38 OHIP billing codes across 7 sections: Office; Patient's home; Hospital in-patient; Long-term care; Emergency department — first person seen; Emergency department — additional persons seen; Travel premiums. First-person-seen and travel premiums for non-elective visits, by setting and time of day. Not payable to Emergency Department Physicians on duty.
Are these the current OHIP fees?
Fees are read from the current Ontario Schedule of Benefits for Physician Services and refreshed hourly. Claims are paid at the fee in force on the service date, so always confirm the effective date on the code page.
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