What are the billing rules for B990A?

Maximum 10 per physician per day, for any combination of non-elective and elective visits (GP75). Only for the first patient seen, however many patients are seen in one home or in units of one multiple resident dwelling (GP75). On weekday daytimes, payable only when a travel premium is payable for the trip, usually B960 (GP66).

What is B990A often billed with?

A900 complex house call assessment for a frail elderly or housebound patient, first person seen at a location only (A6). B960 travel premium, maximum 2 per day (GP75). For a palliative patient, Table VII has its own premiums, B966 and B998, with no maximums (GP76).

Why is B990A rejected?

ADF: OHIP's description is 'required related procedure missing, invalid or paid at zero'. B990 is only paid with an eligible A-prefix assessment on the same claim (GP69); A001 and A007 don't qualify in the home (A4).

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Billing code

B990A — Weekday daytime or elective home special visit premium, first patient

Q: What is OHIP billing code B990A?

Home special visit premium for the first patient seen on a weekday daytime non-elective call, and for elective home visits at any time.

Weekday or elective home first-patient

Bill B990 for the first patient seen on a weekday daytime non-elective home visit, or on an elective home visit anytime.

Watch for: On weekday daytimes it's payable only with a travel premium, usually B960; bill an eligible A-prefix assessment with it.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$28.25	$0.00	$0.00	$0.00	$0.00

Code: B990A
Description: Weekday daytime or elective home special visit premium, first patient
FHO+ basket: Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).
Effective date: Apr 1, 2026
Termination date: No end date

Explanation

Updated October 26, 2026

Home special visit premium for the first patient seen on a weekday daytime non-elective call, and for elective home visits at any time.

What it covers

B990 is the first person seen premium in Special Visit Premium Table VI, Patient's Home (other than long-term care), for non-elective visits on weekdays 07:00 to 17:00 (GP75).

It is also the first person seen premium for elective home visits at any time of day or week, with B960 as the travel premium (GP65, GP75).

Billing rules

Maximum 10 per physician per day, for any combination of non-elective and elective visits (GP75).
Only for the first patient seen, however many patients are seen in one home or in units of one multiple resident dwelling (GP75).
On weekday daytimes, payable only when a travel premium is payable for the trip, usually B960 (GP66).
Not payable with A001 or A007 done in the home, because travel is part of those services (GP75, A4).
A003 general assessment isn't payable in the home (A4); bill an eligible A-prefix assessment such as A900 (GP69, A6).
The time of the visit must be in the medical record (GP69).
FHO: B990A is a Schedule 2 core service, in basket, and counts toward the home visit bonus (Agreement p.67 §8.9, p.76).

Often billed with

A900 complex house call assessment for a frail elderly or housebound patient, first person seen at a location only (A6).
B960 travel premium, maximum 2 per day (GP75).
For a palliative patient, Table VII has its own premiums, B966 and B998, with no maximums (GP76).

Common rejections

ADF: OHIP's description is 'required related procedure missing, invalid or paid at zero'. B990 is only paid with an eligible A-prefix assessment on the same claim (GP69); A001 and A007 don't qualify in the home (A4).

Related codes: B960, B992, B994, B993, B996, A900, B998

Source: Schedule of Benefits (July 1, 2026), General Preamble, Special Visit Premiums, pages GP65 to GP69 and Table VI on GP75

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