Billing code
B963A — Home visit travel premium – weekend or holiday
Weekend home travel premium
Bill B963 for travel to a non-elective home visit on a Saturday, Sunday or holiday, 07:00 to 24:00.
Watch for: Bill it with an A-prefix assessment on the same claim, or OHIP rejects the premium as billed alone.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $37.40 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- B963A
- Description
- Home visit travel premium – weekend or holiday
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
Travel premium for a non-elective home visit on a Saturday, Sunday or holiday, 07:00–24:00.
What it covers
B963 is the travel premium in Special Visit Premium Table VI (patient's home, not a long-term care home) for a non-elective visit on Saturdays, Sundays and holidays, 07:00–24:00 (GP75).
A special visit is a visit the patient (or someone for them) asks for to get a non-elective service; in the patient's home it can be elective or non-elective (GP65). 'Home' means the patient's residence, including an apartment, retirement home, hotel, residence, shelter, correctional facility or group home, but not a hospital or long-term care home (GP4).
Billing rules
- Maximum 6 per time period (GP75).
- A travel premium is paid for travel from one location to another, once per trip no matter how many patients you see (GP66).
- Bill it with the A-prefix assessment from the General Listings for the visit (GP69).
- Record the time of the visit in the medical record (GP69).
- Table VI home premiums are not payable with A001 or A007 done in the home; travel is already included in those (GP75).
- Elective home visits use B960/B990 instead (GP65, GP75).
Often billed with
- B993 first person seen, Saturday, Sunday or holiday (GP75).
Common rejections
- AD9: OHIP describes this as 'Premium not allowed alone': a special visit premium must be billed with an A-prefix assessment from the General Listings on the same claim (GP65, GP69).
Related codes: B993, B960, B961, B962, B964, B990
Source: Schedule of Benefits (July 1, 2026), General Preamble, Special Visit Premiums, page GP75. Rules GP65–GP69.
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