Billing code
B993A — Home special visit premium – first person seen – weekend or holiday daytime and evening
Weekend home first-patient premium
Bill B993 for the first patient seen on a non-elective home visit on a Saturday, Sunday or holiday, 07:00 to 24:00.
Watch for: Submit it on the same claim as the A-prefix assessment; elective home visits use B960 and B990 instead.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $84.80 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- B993A
- Description
- Home special visit premium – first person seen – weekend or holiday daytime and evening
- 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 home visit on a Saturday, Sunday or holiday between 7:00 and midnight.
What it covers
B993 is the Table VI special visit premium for the first person seen on a non-elective visit to a patient's home (not an LTC home) on a Saturday, Sunday or holiday, 07:00 to 24:00 (GP75). The travel premium for the same period is B963 (GP75).
Home means the patient's residence, including an apartment, retirement home, hotel, shelter, group home or similar, but not a hospital or LTC home (GP4). Holidays are the ones defined on GP3.
Billing rules
- Maximum 20 first and additional person premiums combined per time period (GP75).
- Only the first patient seen is paid, even if you see several people in one home or in several units of a multiple resident dwelling such as an apartment block or retirement home (GP75).
- Elective home visits use the Elective home visit column (B960 travel, B990 first person) at any time, not B993 (GP65, GP75).
- Not payable with A001 or A007 done in the home; travel is part of those services (GP75).
- Bill an A-prefix assessment from the General Listings with the premium, and chart the time of the visit (GP69).
- Holiday rates apply only on the holidays defined on GP3 (GP3).
- FHO: B993 is a Schedule 2 core code (Agreement p.76) and counts toward the home visits special payment (Agreement p.67 §8.9).
Often billed with
- B963 home travel premium, Saturday, Sunday or holiday (max 6 per time period) (GP75).
- A900 complex house call assessment for a frail elderly or housebound patient (A6).
- A902 pronouncement of death in the home (A6).
Common rejections
- AD9: 'Premium not allowed alone': submit B993 on the same claim as the A-prefix assessment it goes with (GP69).
- A3H: More premiums than the Table VI maximum for that time period were claimed (max 20 first and additional person premiums) (GP75).
Related codes: B963, B990, B992, B994, B996, A900, A902, B998
Source: Schedule of Benefits (July 1, 2026), General Preamble, Special Visit Premiums, page GP75.
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