E406

PDF page 121 / GP107

Evenings, Weekend/Holiday and Nights
   E406 Evenings (17:00h - 24:00h) Monday to Friday........................                    60.00
   E407 Saturdays, Sundays or Holidays daytime and evenings
            (07:00h - 24:00h)................................................................  75.00
   E408 Nights (00:00h - 07:00h) .........................................................    100.00
        Payment rules:
        1.These premiums are only eligible for payment for an urgent CT or MRI interpretation for an
          acute care hospital in-patient, emergency department or Hospital Urgent Care Clinic patient
          and only if the following requirements are satisfied:
                                               a.the referral for the interpretation relates to a patient’s condition that requires urgent
                                                 interpretation of a CT or MRI study for the urgent management of the patient;
                                               b.the referral is from a physician or oral and maxillofacial surgeon who has privileges at the
                                                 hospital where the service is rendered;
                                               c.the interpreting physician has radiology privileges at the hospital where the request for
                                                 the service originates; and
                                               d.the interpretation is transmitted to the referring provider within three hours of the
                                                 completion of the CT/MRI study.
                                          Note:
                                          If the request for interpretation occurs prior to an eligible after hours period, but the
                                          interpretation cannot be provided prior to that eligible after hours period due to factors beyond
                                          the control of the interpreting physician, these premiums remain eligible for payment if the
                                          payment rules are otherwise satisfied.

PDF page 121 / GP107

2.E406, E407 and E408 are limited to a maximum of one per patient, per physician, per day,
                                            regardless of the number of CT and/or MRI images interpreted for that patient.

PDF page 321 / A193

Payment rules:
          1.A330 and A332 are not eligible for payment when CT or MRI images made in a different
            institution or facility are used for comparison purposes with CT or MRI images made in the
            consultant radiologist’s institution or facility.
          2.A330 and A332 are limited to a maximum of one each per study per patient per 30 day
            period.
          3.For CT studies, the anatomical regions are head, neck, thorax, abdomen, pelvis, extremities
            (one or more) and spine (one or more segments).
          4.For MRI studies, the anatomical regions are head, neck, thorax, abdomen, breast(s), pelvis,
            extremities (one or more) and spine (one or more segments).
          5.E406, E407 or E408 after hours premiums for diagnostic CT/MRI services are not eligible for
            payment with A330 or A332.
          Medical record requirements:
          A330 and A332 are only eligible for payment if both the written request from the referring
          physician and the consultant radiologist’s second opinion report are included in the patient’s
          permanent medical record.

Master, record 1145. Record Layout PDF, page 1.

E40620250401999999990000060000000000000000000000000000000000000000000000000

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.