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E499
E499 – Second caesarean delivery
OHIP Obstetrics Code — OBSTETRICS · Schedule of Benefits
This code represents an additional fee for the surgical delivery of a second infant via caesarean section during a multiple birth. It is payable in addition to the primary caesarean section codes P018 (Caesarean section), P041 (Caesarean section with tubal interruption), or P042 (Caesarean section with hysterectomy). Payment is subject to specific rules for multiple deliveries by caesarean section, including those with or without a trial of labour, those between 20 and 23 weeks gestational age, and when stillborn fetuses are involved.
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