1. Where special visit premiums are payable for the first patient seen at a location and insured services are rendered by the physician to an additional patient seen at the same location, the "additional patient" premiums are not payable unless the additional patient himself/herself qualifies for a special visit.

No "additional patient" premium is payable for services rendered to additional patients seen during visits to homes, long term care institutions, offices and other non-professional settings while the physician is there rendering a special visit to another patient.
No "additional patient" premium is payable for services rendered to additional patients seen during a special visit to a hospital unless the physician has been specifically asked by the hospital staff to see the additional patient or patients.

Patients who drop in to the office while the physician is there for reasons other than rendering a special visit do not qualify for any of the special visit premiums.
The maximum number of special visit premiums including "additional patient" premiums is one per patient to a maximum of ten at any one location.

Subparagraphs (j) to (n) are amended as follows:

   (j) Special Visits to Emergency Department or OPD:
K990 Daytime Special Visit (Monday to Friday) - first patient seen add

16.70

K991 - For each additional patient requiring a special visit and seen during the same special visit, add 30% to consultation or visit - minimum pemium add

9.50

K992 Emergency Call with Sacrifice of Office hours - first patient seen add

33.40

K993 - For each additional patient requiring a special visit and seen during the same special visit, add 30% to consultation or visit - minimum premium add

14.30

K994 Evenings (17:00h - 24:00h) and Saturdays, Sundays, Holidays -first patient seen . add

33.40

K995 - For each additional patient requiring a special visit and seen during the same special visit, add 30% to consultation or visit - minimum premium add

14.30

K996 Nights (0:00h - 7:00h) - first patient seen add

50.20

K997 - For each additional patient requiring a special visit and seen during the same special visit, add 50% to consultation or visit - minimum premium add

22.00

Subparagraph (o) is changed to read:

(k) Special Visit to Hospital In-patient: Use the appropriate listing above but substitute the prefix "C" for "K" (e.g. C990 instead of K990).

Subparagraph (j) is changed to read:

(l) Special Visit to the Patient’s Home or Equivalent (regardless of how many patients seen at the same location. No "additional patient" premium payable): (Descriptions and fees unchanged for B990/B992/B994/B996.)

Subparagraph (p) is changed to read:

(m) Special Visit to Long-Term Care Institution (regardless of how many patients seen at the same         location. No "additional patient" premium payable.)
W990 Daytime, Monday to Friday............................................................................... 16.70
W992 Emergency call with sacrifice of office hours................................................. 33.40
W994 Evenings (17:00h - 24:00h) Saturdays, Sundays, Holidays ........................... 33.40

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Ontario Ministry of Health and Long-Term Care
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