E012C – Malignant hyperthermia management
OHIP Surgical Assists Code — GENERAL PREAMBLE · Schedule of Benefits
An amount is payable for extra units in addition to basic units when an anaesthesiologist administers an anaesthetic to a patient who is known to have malignant hyperthermia or there is a strong suspicion of susceptibility, and the anaesthetic requires full malignant hyperthermia set up and management. This premium provides 5 extra units.
When to Use
- Use E012C when performing general anesthesia for a patient with a documented history of malignant hyperthermia requiring a trigger-free anesthetic setup.
- Use this code for patients with a strong clinical suspicion of susceptibility, such as those with a family history or specific genetic markers, requiring full malignant hyperthermia management protocols.
Common Pitfalls
- Billing E012C in conjunction with E030C or E031C will result in an automatic rejection due to explicit billing restrictions.
- Failing to explicitly document the 'full malignant hyperthermia set up' in the anesthesia record is a common cause for clawbacks during OHIP audits.
Billing Tips
- Ensure the 5 extra units are added to the total unit count of your primary anesthetic procedure code to capture the full value of the service.
No fee information available.
GP. General Preamble
GENERAL PREAMBLE
Premium
Anaesthesiologists' Services
The medical record must document that the patient is known to have malignant hyperthermia or that there is a strong suspicion of susceptibility.
The anaesthetic management must include a full malignant hyperthermia set up.
Extra Units: An amount is payable for extra units in addition to basic units when an anaesthesiologist administers an anaesthetic under specific qualifying conditions.
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