E082 – Admission assessment by the MRP
OHIP Surgical Assists Code — GENERAL PREAMBLE · Schedule of Benefits
E082 is a 30% premium payable to the Most Responsible Physician (MRP) when they perform an admission assessment and admit a patient to their service. This premium applies to any admission assessment or consultation code (A-prefix or C-prefix) rendered in the emergency department or on an inpatient ward, where the billing physician becomes the MRP. A135 (Internal Medicine) and A933 (Family Practice) are listed in the SOB as examples only — the eligible base is ANY consultation or assessment code where the physician assumes MRP responsibilities, including C-prefix hospital in-patient codes such as C912, C933, C003, C004, and C005.
When to Use
- Use E082 when you perform an initial consultation (e.g., A933 or C005) in the Emergency Department and formally admit the patient to your own service.
- Use E082 when performing an admission assessment (e.g., C003) for a patient transferred from another facility where you are assuming the role of MRP.
- Use E082 when you are the physician of record accepting a patient from a specialist's consult, provided you are taking over the MRP responsibility for the inpatient stay.
Common Pitfalls
- Billing E082 for patients admitted for obstetrical delivery or well newborns, which are explicitly excluded by the Schedule of Benefits.
- Attempting to claim E082 for internal hospital transfers, as the premium is restricted to the initial admission to your service.
- Failing to include the mandatory admission date in the claim submission, which will trigger an automatic rejection.
Billing Tips
- Always link E082 to the specific A or C-prefix assessment code that establishes your MRP status to ensure the 30% premium calculates correctly against the base fee.
- Confirm with your Chief of Medicine whether your hospital policy permits specialists to bill E082, as some institutions reserve this exclusively for the admitting hospitalist or primary service.
Percentage Premium: 0.3%
This code applies a percentage increase to the base procedure fee
Effective: July 1, 2013
GP. General Preamble
GENERAL PREAMBLE
PercentageIncrease
Other Premiums (including After Hours Procedure Premiums)
E082 is only eligible for payment once per patient per hospital admission.
E082 is only eligible for payment if the physician establishes that he or she does not receive any direct or indirect remuneration from a hospital or hospital foundation for rendering in-patient clinical services.
The admission assessment can occur in the emergency department or on an inpatient ward.
Hospital policies may vary on whether specialists in the Emergency Department can bill E082, or if it should be left for the hospitalist to bill the next day.
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