H100

PDF page 144 / A16

CONSULTATIONS AND VISITS
FAMILY PRACTICE & PRACTICE IN GENERAL (00)
 H065 Consultation in Emergency Medicine .....................................      95.60
 H105 In-patient interim admission orders.........................................  29.05
    Note:
    1.H105 is payable in addition to the initial consultation or assessment rendered in the
      emergency department or Hospital Urgent Care Clinic provided that each service is rendered
      separately by the Emergency Department Physician.
    2.H105 is an insured service payable at nil if the hospital admission assessment is payable to
      the Emergency Department Physician.
   Monday to Friday - Daytime (08:00h to 17:00h)
 H102 Comprehensive assessment and care ...................................                                          56.70
 H103 Multiple systems assessment .................................................                                  46.65
 H101 Minor assessment...................................................................                            22.65
 H104 Re-assessment.......................................................................                           22.75
   Monday to Thursday - Evenings (17:00h to 24:00h)
 H132 Comprehensive assessment and care ...................................                                          75.40
 H133 Multiple systems assessment .................................................                                  61.50
 H131 Minor assessment...................................................................                            30.05
 H134 Re-assessment.......................................................................                           30.05
   Friday Evenings (17:00h to 24:00h) and Saturdays, Sundays and Holidays - Daytime and
   Evenings (08:00h to 24:00h)
 H152 Comprehensive assessment and care ...................................                85.70
 H153 Multiple systems assessment .................................................        69.60
 H151 Minor assessment...................................................................  34.15
 H154 Re-assessment....................................................................... 34.15
   Nights (00:00h to 08:00h)
 H122 Comprehensive assessment and care ...................................                                          99.60
 H123 Multiple systems assessment .................................................                                  80.95
 H121 Minor assessment...................................................................                            39.85
 H124 Re-assessment.......................................................................                           39.80
       3.With the exception of ultrasound guidance, (J149) or emergency department investigative
         ultrasound (H100), ultrasound services listed in this Schedule rendered by an Emergency
         Department Physician are not eligible for payment.
       4.When any other service is rendered by the Emergency Department Physician in premium
         hours (and assessments may not be claimed), apply one of the following premiums per
         patient visit.
 H112      - nights (00:00h to 08:00h) ...................................................                           50.95
 H113      - daytime and evenings (08:00h to 24:00h) on Saturdays,
             Sundays or Holidays and Friday Evenings (17:00h to
             24:00h) ...............................................................................                 32.20
 H114      - evenings (17:00h to 24:00h) on Mondays to Thursdays ....                                                23.65

PDF page 145 / A17

CONSULTATIONS AND VISITS
 FAMILY PRACTICE & PRACTICE IN GENERAL (00)
Emergency department investigative ultrasound
An Emergency Department investigative ultrasound is only eligible for payment when:
    1. the procedure is personally rendered by an Emergency Department Physician who meets
       standards for training and experience to render the service;
    2. a specialist in Diagnostic Radiology is not available to render an urgent interpretation; and
    3. the procedure is rendered for a patient that is clinically suspected of having at least one of the
       following life-threatening conditions:
         a. pericardial tamponade
         b. cardiac standstill
         c. intraperitoneal hemorrhage associated with trauma
         d. ruptured abdominal aortic aneurysm
         e. ruptured ectopic pregnancy
   H100 Emergency department investigative ultrasound....................            19.65
      Payment rules:
      1.H100 is limited to two (2) services per patient per day where the second service is rendered
        as a follow-up to the first service for the same condition(s).
          2.Services listed in the Diagnostic Ultrasound section of the Schedule, both technical and
            professional components are not eligible for payment to any physician when ultrasound
            images described by H100 are eligible for payment.
          Note:
          H100 is only eligible for payment when it is rendered using equipment that meets the following
          minimum technical requirements:
          1.Images must be of a quality acceptable to allow a different physician who meets standards
            for training and experience to render the service to arrive at the same interpretation;
          2.Scanning capabilities must include B- and M-mode; and
          3.The trans-abdominal probe must be at least 3.5MHz or greater.
          Medical record requirements:
          The service is only eligible for payment when the Emergency Department investigative
          ultrasound includes both a permanent record of the image(s) and an interpretative report.
          Claims submission instructions:
          Claims in excess of two (2) services of H100 per day by the same physician for the same
          patient should be submitted using the manual review indicator and accompanied by supporting
          documentation.
          [Commentary:
          1.See page GP50 for the definition of an “Emergency Department Physician”.
          2.Current standards and minimum requirements for training and experience for Emergency
            Department investigative ultrasound may be found at the Canadian Emergency Ultrasound
            Society website at the following link: http://www.cpocus.ca.]

Master, record 2431. Record Layout PDF, page 1.

H10020250401999999990000019650000000000000000000000000000000000000000000000

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.