W996 Nights (0:00h - 7:00h)................................................................................ 50.20

Subparagraph (q) is changed to read:
(n) Special Visit to Office or Other Similar Facility: use the appropriate listing above
     (subparagraph (m)) but substitute the prefix "A" for "W" (e.g., A990 instead of W990).

Subparagraph (r) is changed to read:
(o) Special Visit to any non-professional setting not listed above: use appropriate listing above
     (subparagraph (m)) but substitute the prefix "Q" for "W" (e.g. Q990 instead of W990).

Subparagraph (t)(ii) p xxxvii is changed to read:

The fee would.....(no change).....special visit is:

  1. If the special visit was made between 07:00h and 24:00h, Monday through Friday inclusive, a total fee of $41.50 (B910) for the first patient seen and only the appropriate assessment fee from General Listings for each additional patient seen during the same visit.
  2. If the special visit was made between 07:00h and 24:00h, Saturdays, Sundays and holidays, a total fee of $46.50 (B914) for the first patient seen and only the appropriate assessment fee from General Listings for each additional patient seen during the same visit.
  3. If the special visit was made between 24:00h and 07:00h any night of the week, a total fee of $49.80 (B916) for the first patient seen and only the appropriate assessment fee from General Listings for each additional patient seen during the same visit.

C. Attendance at Resuscitation
A maximum of three physicians may claim full resuscitation fees. Additional physicians beyond the first three may claim equivalent to detention fees. Page J8 is changed as follows:

Life Threatening Emergency Situation - Being in..............billable intervention.

Proced.Fee

Amount payable per physician per life threatening emergency situation for the first three physicians for which a claim is submitted and paid
G521 - first 1/4 hour.

75.70

G523 - second 1/4 hour

37.80

G522 - after first ½ hour (per 1/4 hour or major part thereof)

24.90

 

G391

Amount payable per physician per life threatening emergency situation for the fourth and subsequent physicians for which a claim is submitted and paid (per 1/4 hour or major part thereof)

 

19.40

Other Resuscitation - is different ...................billable intervention. When G395 is claimed in conjunction with G512, G522 or G523 for services rendered to the same patient by the same physician same day the amount payable for G395 is reduced to the amount payable for G391.

Amount payable per physician per other resuscitation for the first three physicians for which a claim is submitted and paid
G395 - first 1/4 hour 38.90
G391 - after first 1/4 hour (per 1/4 hour or major part thereof) 19.40
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