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E024C
E024C – Patient in sitting position during surgery, greater than 60 degrees upright
OHIP Surgical Assists Code — GENERAL PREAMBLE · Schedule of Benefits
The E024C is an anaesthesia premium that provides 4 extra units, payable in addition to the basic and time units of the primary anaesthesia service. This premium is applicable when an anaesthesiologist administers an anaesthetic to a patient who is in a sitting position greater than 60 degrees upright during the surgical procedure.
When to Use
- Use E024C for posterior fossa craniotomies where the patient is positioned in a beach-chair or sitting position exceeding 60 degrees to facilitate surgical access.
- Apply this premium for shoulder arthroscopy procedures performed in the beach-chair position when the torso is elevated beyond the 60-degree threshold.
Common Pitfalls
- Billing E024C for semi-fowler positions that do not meet the strict 60-degree upright requirement, which is a common trigger for post-payment audit recovery.
- Failing to explicitly document the specific degree of patient tilt in the anaesthesia record, which is required to substantiate the claim if audited against the E024C criteria.
Billing Tips
- Ensure the surgical report or anaesthesia chart clearly notes the patient's position as 'sitting' or 'beach-chair' with a specific angle of 60 degrees or greater to support the 4-unit premium claim.
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