E023C – Anaesthesia service for ocular surgery, cystoscopy, and examination under anaesthesia
OHIP Surgical Assists Code — ANAESTHESIOLOGISTS’ SERVICES · Schedule of Benefits
Anaesthesia service for procedures E138, E139, E140, E141, E144, E145, E146, E186, E187, E149, Z432, Z606, or Z607. This fee code replaces the listed basic units and time units for anaesthesia for these specific procedures. The service is defined as an anaesthesia service other than local infiltration, topical anaesthesia, or procedural sedation. Examples of eligible anaesthesia include deep sedation, general anaesthesia, or regional anaesthesia performed by an anaesthesiologist. Payment is based on 6 basic units plus time units.
When to Use
- Use E023C when providing general anaesthesia, regional anaesthesia, or deep sedation for cystoscopy procedures (e.g., E138, E139, E140).
- Use E023C for ocular surgeries listed in the code definition, such as cataract extractions or other procedures falling under the specified E-codes.
- Use E023C for an examination under anaesthesia (EUA) when the procedure is one of the specifically listed eligible codes.
Common Pitfalls
- Billing E023C for procedural sedation or local infiltration, which are explicitly excluded from the definition of anaesthesia for this code.
- Attempting to bill standard anaesthesia basic units separately; E023C is an all-inclusive code that replaces standard basic and time unit calculations for these specific procedures.
- Failing to recognize that E023C is strictly for anaesthesiologist services; it cannot be billed by the surgeon performing the procedure.
Billing Tips
- Ensure you append all eligible age-based or condition-based extra units (e.g., E007C, E010C, E022C) to the E023C claim, as these are permitted in addition to the 6 basic units.
- If the surgery is cancelled after anaesthesia has commenced, bill E006C instead of E023C, as E023C requires the specific procedure to have been initiated.
No fee information available.
GP. General Preamble
ANAESTHESIOLOGISTS’ SERVICES
Surgical
Anaesthesiologists' Services
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