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E014

E014Newborn to 28 days (Anaesthesia Extra Units)

OHIP Surgical Assists Code · Schedule of Benefits

An amount is payable for extra units in addition to basic units when an anaesthesiologist administers an anaesthetic to a newborn from birth to 28 days of age.

When to Use

  • Use E014C for any neonate aged 0-28 days undergoing general, regional, or deep sedation anaesthesia to claim the mandatory age-based unit modifier.
  • Apply this code when the patient is a full-term newborn, as E021C is strictly reserved for premature infants less than 37 weeks gestational age.

Common Pitfalls

  • Billing E014C alongside E030C or E031C will result in an automatic rejection, as these codes are mutually exclusive for nerve block sedation.
  • Failing to include E014C in the total anaesthetic unit calculation when applying E400C or E401C premiums will result in underpayment of the after-hours percentage increase.

Billing Tips

  • Always append the 'C' suffix to E014 and ensure it is submitted in the same claim as the primary anaesthesia procedure code to trigger the correct unit calculation.
Provider Fee$0.00

Effective: January 1, 2019

Service Type

Anaesthesia

Code Classes

Premium

The anaesthesiologist unit fee is $15.96.

Extra units are payable in addition to the basic units listed for the surgical procedure and the calculated time units.

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