OHIP billing code for special visit premium

OHIP special visit premiums pay extra for non-elective calls. B990A is the home special visit premium on a weekday daytime call.

Code	What it is	Fee
B990A	Weekday daytime or elective home special visit premium, first patient	$28.25

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

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

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).

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).

OHIP special visit premiums pay extra for non-elective calls. B990A is the home special visit premium on a weekday daytime call.

Updated October 26, 2026.