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Billing code

C989A — Special visit premium – first obstetrical delivery with sacrifice of office hours

Delivery premium, lost office hours

Add to the first obstetrical delivery of the day when it meant delaying or cancelling booked office patients.

Watch for: Not payable alone; bill it with the first delivery of the day, once per physician per day.

Code

C989A

Description

Special visit premium – first obstetrical delivery with sacrifice of office hours

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

Premium added to the first obstetrical delivery of the day when it required sacrifice of booked office hours.

What it covers

C989 is added to the first obstetric delivery in a calendar day when the delivery required sacrifice of office hours (K7).

Sacrifice of office hours means an unscheduled, non-elective visit made when you had office patients booked who were delayed or cancelled because of it (GP65).

Billing rules

• Maximum one per physician per calendar day (K7).
• Payable only for weekday daytime (07:00–17:00) with sacrifice of office hours; the GP78 table lists no C989 premium for evenings, nights, weekends or holidays (GP78).
• Payable even for a transferred obstetrical patient, as an exception to the special visit rules (GP65).
• Billed in addition to the delivery fee; it is not payable alone (K7).

Often billed with

• P006, P018, P020, P041 or P042 delivery (K6–K7).

Common rejections

• AD9: OHIP describes this as 'Premium not allowed alone': C989 must be billed with the first obstetrical delivery of the day (K7).

Related codes: P006, P018, P020, P041, P042, E409

Source: Schedule of Benefits (July 1, 2026), General Preamble, Special Visit Premiums, page GP78; also Obstetrics, Labour - Delivery, page K7.

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