C989

PDF page 79 / GP65

A special visit premium is payable in respect of a special visit rendered to an insured person, subject
to the conditions and limitations set out below. All special visit premiums are subject to the maximums,
limitations and conditions set out in the "Special Visit Premium Table" applicable in the circumstances.
          Payment rules:
          1.Special visit premiums are only eligible for payment when rendered with certain services
            listed under "Consultations and Visits" and "Diagnostic and Therapeutic Procedures"
            sections of this Schedule.
          2.Regardless of the time of day at which the service is rendered, special visit premiums are not
            eligible for payment in the following circumstances:
              a.for patients seen during rounds at a hospital or long-term care institution (including a
                 nursing home or home for the aged);
              b.in conjunction with admission assessments of patients who have been admitted to
                 hospital on an elective basis;
              c.for non-referred or transferred obstetrical patients except, in the case of transferred
                 obstetrical patients for a special visit for obstetrical delivery with sacrifice of office hours
                 for the first patient seen (C989);
              d.for services rendered in a place, other than a hospital or long-term care facility, that is
                 scheduled to be open for the purpose of diagnosing or treating patients;
              e.for a visit for which critical care team fees are payable under this Schedule;
              f. in conjunction with any sleep study service listed in the sleep studies section of this
                 Schedule; or
              g.for services rendered to patients who present to an office without an appointment while
                 the physician is there, or for patients seen immediately before, during or immediately after
                 routine or ordinary office hours even if held at night or on weekends or holidays.
          3.Special visit premiums are not eligible for payment with services described by emergency
            department "H" prefix fee codes.
          [Commentary:
          For elective home visits rendered during daytime, evenings, nights or weekends, submit
          claim(s) using fee codes found under the column titled "Elective Home Visit" of Special Visit
          Premium Table VI listed on page GP75.]

PDF page 537 / K7

OBSTETRICS
 LABOUR - DELIVERY
                                                                                         Asst   Surg     Anae
   P009 Attendance at labour and delivery ...........................................           512.65
       Note:
       Anaesthesia or Assistant units are not eligible for payment when the same physician claims
       P009 on the same patient.
         [Commentary:
         See Obstetrics Preamble p. K1, paragraph "e" for the services included in attendance at labour.
         P009 or P038 is not payable if any of these component services of attendance at labour are not
         rendered.]
   P010 Attendance of obstetric consultant(s) at delivery .....................                 211.20
         Note:
         Amount payable for attendance of a physician other than an obstetric consultant at only
         delivery is nil.
       Special visit for first obstetrical delivery with sacrifice of office hours
        Payable in addition to first obstetric delivery in calendar day. Maximum of one per physician per
        calendar day. See General Preamble GP65 for definition of special visit.
   C989      - special visit for first obstetrical delivery with sacrifice of
               office hours .................................................................add 78.55
       Sole delivery premium
        Payable in addition to labour and delivery fees P006A, P009A, E414, P018A, P020A, P038A or
        P041A if sole delivery in calendar day, to maximum of 25 sole delivery premiums per physician
        per fiscal year.
   E411        - sole delivery premium ...................................... add 100%

Master, record 816. Record Layout PDF, page 1.

C98920260401999999990000078550000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.