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E409
E409 – After-hours procedure premium (Evenings/Weekends/Holidays)
OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits
Billed by time of day
After-hours procedure premium (not an ED physician). Non-elective procedures, by when the procedure starts.. Toronto time.
Pick a date and time to see which code applies.
| Weekday daytimeMon–Fri 07:00–17:00 | No code |
|---|---|
| Weekday eveningMon–Fri 17:00–24:00 |
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| NightEvery day 00:00–07:00 |
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| Weekend or holidaySat, Sun & holidays 07:00–24:00 |
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Increases the procedural fee by 50% for specific services when performed by a physician other than an Emergency Department Physician. This premium is payable only when the procedure is either (a) non-elective, or (b) an elective procedure that was delayed due to an intervening surgical emergency, and commenced during evenings (17:00h – 24:00h, Monday to Friday) or on daytime and evenings on Saturdays, Sundays, and Holidays.
This premium applies to the following services:
• Non-elective Surgical Procedures (including fractures or dislocations)
• Obstetrical Deliveries
• Clinical Procedures Associated with Diagnostic Radiological Examinations
• Ground Ambulance Transfer (K101)
• Air Ambulance Transfer (K111)
• Transport of Donor Organs (K102)
• Return Trip (K112)
• Major Invasive Procedures including: G060, G061, G062, G065, G066, G067, G068, G082, G083, G085, G090, G099, G117, G118, G119, G125, G176, G177, G178, G179, G211, G224, G246, G248, G249, G260, G261, G262, G263, G268, G269, G275, G277, G279, G280, G282, G287, G288, G290, G297, G298, G303, G309, G322, G323, G324, G330, G331, G336, G347, G348, G349, G356, G376, G379, G380, G509, services J001 to J068, and X112 when required for intussusception.
This premium is not payable for procedures rendered by an Emergency Department Physician.
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