All codes
E021
E021 – Anaesthesia premium for premature newborn < 37 weeks gestational age
OHIP Surgical Assists Code · Schedule of Benefits
An amount payable for extra units in addition to basic units when an anaesthesiologist administers an anaesthetic to a premature newborn less than 37 weeks gestational age.
When to Use
- Use E021C when providing anaesthesia for a neonate born at less than 37 weeks gestation, regardless of their current chronological age, provided they remain in the neonatal period.
- Apply this code specifically for premature infants requiring surgical intervention where the anaesthetic risk is elevated due to gestational immaturity.
Common Pitfalls
- Billing E021C in combination with E014C or E009C is a common error; E021C is a distinct premium for prematurity and should not be stacked with age-based unit modifiers for the same patient.
- Failure to verify the gestational age in the chart often leads to audit recovery; ensure the specific gestational age is documented to justify the premium over standard age-based codes.
Billing Tips
- Always append the 'C' suffix to E021 and ensure it is submitted alongside the primary anaesthesia procedure code to trigger the correct unit calculation.
Provider Fee$0.00
Anaesthetist Fee$15.96
Non-Anaesthetist Fee$15.96
Effective: April 1, 2026
Service Type
Anaesthesia
Code Classes
Premium
Extra units are payable in addition to basic units and time units.
The anaesthesiologist unit fee is $15.96.
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