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Special Visit Premium

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How to bill special visit premiums

Question:

Can I bill a C-prefix special visit premium to my inpatient assessment (e.g. C133)?

Answer:

You cannot bill a Cxxx with special visit premiums. Here is the fast and hard rule:
Axxx + Kxxx for Outpatient assessment/consult + special visit
Axxx + Cxxx for Inpatient assessment/consult + special visit

Learn more about Special Visit Premiums on our OHIP billing tutorial for internal medicine.

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