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E412
E412 – Emergency Department Physician evening premium
OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits
Billed by time of day
ED physician procedure premium. Percentage premium on eligible 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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Provides a 20% increase on the procedural fee for services performed by an Emergency Department Physician. This premium is payable only when all of the following criteria are met:
1. Time of Service: The procedure commences during one of the following periods:
• Evenings (17:00h – 24:00h) Monday to Friday
• Daytime and evenings (07:00h - 24:00h) on Saturdays, Sundays, or Holidays.
2. Nature of Service: The procedure is either:
• Non-elective, or
• An elective procedure that was delayed due to an intervening surgical emergency and commenced during the eligible time periods.
3. Applicable Services: The premium applies to one of 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: 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, J001 to J068, and X112 when required for intussusception.
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