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E025
E025 – Unanticipated massive transfusion premium
OHIP Surgical Assists Code · Schedule of Benefits
Unanticipated massive transfusion – transfusion of at least one blood volume of red blood cells during a surgical procedure.
When to Use
- Use E025 when an unexpected intraoperative hemorrhage requires 10 or more units of red blood cells for a patient weighing over 50 kg.
- Apply this code for pediatric cases where the intraoperative red blood cell transfusion exceeds 70 ml/kg, provided the need for such volume was unanticipated.
Common Pitfalls
- Do not include units of plasma, platelets, or cryoprecipitate in your count, as E025 is strictly based on red blood cell volume.
- Avoid billing E025 for planned massive transfusions, such as anticipated high-risk vascular or trauma surgeries where the transfusion protocol is expected pre-operatively.
- Do not count blood processed through a cell saver or acute normovolemic hemodilution toward the 10-unit threshold.
Billing Tips
- Ensure your operative report explicitly documents the total number of red blood cell units transfused and the unanticipated nature of the hemorrhage to support the claim during an audit.
- You may bill E025 in conjunction with other applicable anaesthesia premiums like E017C (ASA IV) if the patient meets those specific criteria, as they are not mutually exclusive.
Provider Fee$0.00
Anaesthetist Fee$15.96
Non-Anaesthetist Fee$15.96
Effective: April 1, 2026
Service Type
Anaesthesia
Code Classes
Premium
E025C is defined by the amount of blood transfused rather than the amount of blood loss.
The volume of blood transfused does not include blood collected from a cell saver, hemodilution techniques, or non-red blood cell components (e.g., plasma, platelets).
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