E018C – Adult aged 80 years and older
OHIP Surgical Assists Code — GENERAL PREAMBLE · Schedule of Benefits
E018C is an add-on premium that provides 3 extra units for anaesthesia services rendered to an adult patient aged 80 years or older. These extra units are added to the basic and time units of the primary anaesthetic procedure to calculate the total anaesthesia fee. The fee is calculated by adding the number of basic, time, and extra units and multiplying the total by the anaesthesiologist unit fee as described in the Schedule of Benefits on .
When to Use
- Apply this premium when providing general or regional anaesthesia for any surgical procedure to a patient who has reached their 80th birthday.
- Use this code in conjunction with standard anaesthesia base and time units for patients aged 80+ undergoing procedures eligible for E023C or E032C.
Common Pitfalls
- Attempting to claim E018C alongside E003C (Supportive care/Monitoring) or E030C (Procedural sedation), which are explicitly restricted and will trigger a rejection.
- Failing to verify the patient's exact age at the time of service, as the premium is strictly for patients aged 80 years and older.
Billing Tips
- Ensure the premium is added to the total unit calculation (base + time + 3 units) before applying the current anaesthesia unit fee to maximize the claim value.
No fee information available.
GP. General Preamble
GENERAL PREAMBLE
Premium
Anaesthesiologists' Services
adult aged 80 years and older
An amount is payable for extra units in addition to basic units when an anaesthesiologist administers an anaesthetic to an adult aged 80 years and older.
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