E400

PDF page 101 / GP87

GENERAL PREAMBLE
      SURGICAL ASSISTANTS’ SERVICES
  AFTER HOURS PREMIUMS
  These premiums are payable when a case commences:
               E400B Evenings (17:00h – 24:00h) Monday to Friday or daytime and
                       evenings on Saturdays, Sundays or Holidays - increase the
                       total assistant’s fee by ........................................................                 50%
               E401B Nights (00:00h – 07:00h) - increase the total assistant's fee by                                    75%
  REPLACEMENT SURGICAL ASSISTANT
  When one surgical assistant (“the first assistant”) starts a procedure and is replaced by another
  surgical assistant (“the replacement assistant”) during a surgical procedure:
                                          a. The amount payable to the first assistant is calculated by adding the listed procedural basic
                                             units plus time units for the time the first assistant is in attendance.
                                          b. The service provided by the replacement assistant constitutes E005B based on the number
                                             of time units for the time the replacement assistant is in attendance.
                                          Payment rules:
                                          1.Base units are not eligible for payment to the replacement assistant.
                                          2.Time units for the replacement assistant are calculated based on the total time the
                                            replacement assistant participates in the case. Time unit values are calculated in the same
                                            manner as would have applied to the original assistant had he/she not been replaced.
                                          [Commentary:
                                          As an example, if the original assistant is eligible for double time units when the replacement
                                          assistant takes over, the replacement assistant is also eligible for double time units.]
                                          3.E400B or E401B is eligible for payment with E005B only if the beginning of the case
                                            commences after hours.
                                          Medical record requirements:
                                          E005B is only eligible for payment when the start and stop times are documented in the
                                          patient’s permanent medical record.

PDF page 102 / GP88

Evenings, Weekend/Holiday and Nights
   C998B Evenings (17:00h - 24:00h) Monday to Friday, first patient
             seen.....................................................................................                   96.80
   C983B Saturdays, Sundays or Holidays, daytime and evenings
             (07:00h -24:00h), first patient seen .....................................                                 112.40
   C999B Nights (00:00h - 07:00h), first patient seen .............................                                     138.60
  Payment rules:
    1. C988B, C998B, C983B and C999B are only eligible for payment for the first patient seen on
       each special visit.
                   2. C988B, C998B, C983B, C999B are only eligible for payment when the physician is required to
                      travel from one location to another location, as defined under “Travel Premium”, page
                      GP66.
                                          [Commentary:
                                          1.The specific requirements for special visits are found on pages GP65 to GP77.
                                          2.These premiums are eligible for payment in addition to the E400 and E401 premiums.]

PDF page 108

GENERAL PREAMBLE
      ANAESTHESIOLOGISTS’ SERVICES
  AFTER HOURS PREMIUMS
  These premiums are payable when a case commences:
               E400C Evenings (17:00h – 24:00h) Monday to Friday or daytime and
                       evenings on Saturdays, Sundays or Holidays - increase the
                       total anaesthetic fee by ......................................................                              50%
               E401C Nights (00:00h – 07:00h) - increase the total anaesthetic fee
                       by ........................................................................................                  75%
  SPECIAL VISIT PREMIUMS
  All special visit premiums are subject to the maximums, limitations and conditions set out in the
  "Special Visit Premium Table" applicable in the circumstances.
  Anaesthesia special visit premiums are only eligible for payment when an anaesthesiologist is
  required to travel, as defined under “Travel Premium” page GP66, to make a special visit to the
  hospital to administer an anaesthetic for a case that commences:

PDF page 108

[Commentary:
                                          1.The specific requirements for special visits are found in pages GP65 to GP77.
                                          2.These premiums are payable in addition to the E400 and E401 premiums.]

PDF page 109 / GP95

REPLACEMENT ANAESTHESIOLOGIST
When one anaesthesiologist starts a procedure and is replaced by another anaesthesiologist (“the
replacement anaesthesiologist”) during a surgical procedure or delivery:
         a. the amount payable to the first anaesthesiologist is calculated by adding the listed
            procedural basic units plus time units for the time the first anaesthesiologist is in attendance;
         b. except in the case of continuous conduction anaesthesia, the service provided by the
            replacement anaesthesiologist constitutes E005C based on the actual number of time units
            and 6 basic units.
          Note:
          E005C qualifies for the premiums E400C or E401C only if the case commences after hours
          (see GP94).
          [Commentary:
          1.Each anaesthesiologist must indicate, as part of the medical record, his/her starting and
            finishing times.
          2.For continuous conduction anaesthesia, the replacement anaesthesiologist submits claims
            using the applicable continuous conduction anaesthesia fee code.]
OBSTETRICS – CONTINUOUS CONDUCTION ANAESTHESIA
P014C, introduction of a catheter for labour analgesia, including the first dose of medication with or
without any combined spinal-epidural injection(s), has a value of 7 basic units.

Master, record 1139. Record Layout PDF, page 1.

E40020260401999999990000000000000000064600000000000000000007980000000079800

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.