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Billing code

B992A — Home visit first person seen – weekday daytime, sacrifice of office hours

Home first-patient, office hours sacrificed

Bill B992 for the first patient seen on a non-elective weekday daytime home visit that made you delay or cancel booked patients.

Watch for: Bill it with an A-prefix assessment on the same claim; not payable with A001 or A007 done in the home.

Code

B992A

Description

Home visit first person seen – weekday daytime, sacrifice of office hours

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

Premium for the first patient seen on a non-elective weekday daytime home visit that made you delay or cancel booked office patients.

What it covers

B992 is the first person seen premium in Special Visit Premium Table VI (patient's home, not a long-term care home) for a non-elective visit on weekdays 07:00–17:00 with sacrifice of office hours (GP75).

'Sacrifice of office hours' means an unscheduled, non-elective visit that made you delay or cancel booked office patients (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 10 per time period (GP75).
• Paid only for the first patient seen, no matter how many people you see in one home or in units of the same multi-resident building, such as an apartment block or retirement home (GP75).
• 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).
• FHO: B992 is a Schedule 2 in-basket core service (Agreement p.76) and counts toward the home visit special payment (Agreement p.67 §8.9).

Often billed with

• B961 travel premium, weekday daytime with sacrifice of office hours (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: B961, B990, B994, B993, B996, A900

Source: Schedule of Benefits (July 1, 2026), General Preamble, Special Visit Premiums, page GP75. Rules GP65–GP69.

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