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E410 – Nights premium - Physician (other than Emergency Department Physician)

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.

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After-hours procedure premium (not an ED physician) by time period
Weekday daytimeMon–Fri 07:00–17:00No code
Weekday eveningMon–Fri 17:00–24:00
NightEvery day 00:00–07:00
  • E410(this code)+75%
Weekend or holidaySat, Sun & holidays 07:00–24:00
This premium increases the procedural fee by 75% for services rendered by a physician (other than an Emergency Department Physician) during the night, from 00:00h to 07:00h. This premium is payable only when the following criteria are met: a. The procedure is non-elective; or an elective procedure which, because of an intervening surgical emergency procedure(s), was delayed and commenced between 00:00h and 07:00h. b. The service provided is one of the following: • 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) • A specified list of Major Invasive Procedures (see applicable codes list). • X112 when required for intussusception.

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