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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

Patient's home

Hospital in-patient

Long-term care

Emergency department — first person seen

Emergency department — additional persons seen

Travel premiums

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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