E017

PDF page 112 / GP98

GENERAL PREAMBLE
ANAESTHESIOLOGISTS’ SERVICES
      Note:
      E025C is only eligible for payment for an unanticipated transfusion of blood during a surgical
      procedure where:
      1.greater than 70 ml/kg of red blood cells are transfused for a patient with a weight up to 50 kg;
        or
      2.10 or more units of red blood cells are transfused for a patient with a weight exceeding 50 kg.
      [Commentary:
      1.For E010, BMI is calculated by dividing the patient’s weight (in kilograms) by the square of
        the patient’s height (in metres).
      2.E025C is defined by the amount of blood transfused rather than the amount of blood loss.
        The volume of blood transfused does not include blood collected from a cell saver,
        hemodilution techniques or non-red blood cell components.]
Payment rules:
  1. In the description of E022C, E016C, E017C and E020C, reference to ASA level for Physical
     Status Classification means the level determined by the anaesthesiologist at the time of the pre-
     operative anaesthesia assessment.
      [Commentary:
      The level determined above does not vary, for example, when complications arise during
      surgery.]
  2. E016C, E017C and E020C are not eligible for payment when anaesthesia is rendered to a brain
     dead patient for organ donations.

PDF page 539 / K9

Payment rules:
         1.Anaesthesia extra units listed on GP97 are not eligible for payment with P014C except for
           E010C, E022C and E017C.
         2.Z804 is not eligible for payment with P014C or P016C.
         3.Anaesthesia extra units listed on GP97 are not eligible for payment with P016C or E100C.
         4.E100C time units are payable for time spent in constant attendance at delivery, exclusive of
           time spent engaged in any separately payable services except for P016C. Start and stop
           times must be recorded in the patient’s permanent medical record.
         5.E100C time units for attendance at delivery are calculated as 4 basic units and 1 unit for
           each ¼ hour.
         6.In instances where more than one anaesthesiologist is required to provide maintenance of
           obstetrical epidural anaesthesia sequentially, P016C is limited to a maximum of 12 units per
           patient, per physician, per day.
         [Commentary:
         Anaesthesia extra units listed on GP97 are eligible for payment with other C-suffix anaesthesia
         service rendered the same day as P014C/P016C/E100C, unless otherwise listed.]
         Medical record requirements:
         Where P016C is claimed by more than one anaesthesiologist per patient, per day, the medical
         records must document that care was provided by each anaesthesiologist sequentially.

Master, record 884. Record Layout PDF, page 1.

E01720260401999999990000000000000000000000000000000000000015960000000159600

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.