E414

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%

PDF page 538 / K8

OBSTETRICS
LABOUR - DELIVERY
                                                                                                       Asst        Surg         Anae
      High risk obstetrical premium
       Payable in addition to labour and delivery procedures when at least one of the following
       conditions are present: fetal prematurity (<32 weeks gestational age), severe pregnancy
       induced hypertension, intrauterine growth retardation (IUGR) less than 10th percentile, or
       significant placental insufficiency as demonstrated by absent umbilical vessel flow or reverse
       systolic/diastolic (S/D) ratio.
# E414 High risk obstetrical premium ............................................add                                62.05
# P045 Repair of third degree tear or episiotomy extension, must
         include repair of perianal sphincter and perineum ..............                                           82.15         6
# P046 Repair of fourth degree tear or episiotomy extension, must
         include repair of rectal mucosa, perianal sphincter and
         perineum .............................................................................                   200.00          6
         Note:
         1.Repair of a tear or episiotomy extension that does not extend into the perianal sphincter (third
           degree) is included in the labour and delivery fee (P006 and P020) and does not constitute
           P045 or P046.
         2.Repair of the superficial transverse perineal muscle constitutes a repair of a second degree
           tear or episiotomy extension and does not constitute P045 or P046.
         Claims submission instructions:
         Claims for P046 submitted by a provider with a specialty other than Obstetrics and Gynecology
         (20) must be submitted for manual review.

Master, record 1153. Record Layout PDF, page 1.

E41420250401999999990000062050000000000000000000000000000000000000000000000

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.