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E009C
E009C – Anaesthetic extra units - infant 29 days to 1 year
OHIP Surgical Assists Code — GENERAL PREAMBLE · Schedule of Benefits
An amount is payable for 4 extra units in addition to the standard basic units when an anaesthesiologist administers an anaesthetic to an infant from 29 days to 1 year of age. This code is part of the 'Extra Units' section for anaesthesiologists' services as described on page .
When to Use
- Use E009C when providing general anaesthesia for a surgical procedure on an infant aged 29 days to 1 year to claim the mandatory 4-unit age-based premium.
- Apply this code in conjunction with the primary anaesthesia procedure code to account for the increased complexity of managing airway and physiological stability in this specific age cohort.
Common Pitfalls
- Billing E009C alongside E030C will result in an automatic rejection, as extra units are not payable for procedural sedation services.
- Attempting to claim E009C with E003C is prohibited; ensure your billing software is configured to prevent these codes from being submitted on the same claim.
- Submitting for patients outside the 29-day to 1-year window will trigger a rejection; verify the patient's exact date of birth against the date of service.
Billing Tips
- Always append E009C as a secondary code to the primary anaesthesia service fee to ensure the 4 extra units are correctly calculated and added to the total claim value.
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