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E982
E982 – Examination - newborn, infant or child (ages 0 to 15 inclusive)
OHIP Surgical Assists Code — OCULAR SURGICAL PROCEDURES · Schedule of Benefits
This is a percentage-based premium that increases the fee for Z850 by 30%. It is applicable when the examination of the eyeball under general anaesthesia is performed on a patient who is a newborn, infant, or child, specifically from ages 0 to 15 years, inclusive.
When to Use
- Apply E982 when billing Z850 for an examination of the eyeball under general anaesthesia for any patient aged 15 or younger.
- Use this code as a mandatory 30% premium addition when Z850 is performed in a hospital or surgical facility setting for pediatric patients.
Common Pitfalls
- Billing E982 for patients aged 16 or older will result in an automatic rejection, as the premium is strictly restricted to ages 0-15 inclusive.
- Attempting to claim E982 with other ocular examination codes besides Z850 will lead to claim denial, as it is exclusively linked to the Z850 fee.
Billing Tips
- Ensure the patient's date of birth is correctly entered in the claim to trigger the age-based eligibility for the 30% premium increase on Z850.
Percentage Premium: 0.3%
This code applies a percentage increase to the base procedure fee
Provider Fee$0.01
Effective: December 1, 2013
Category
Y. Ocular and Aural Surgical Procedures
Subcategory
OCULAR SURGICAL PROCEDURES
Service Type
PercentageIncrease
Code Classes
Ocular and Aural Surgical Procedures, Other Premiums (including After Hours Procedure Premiums)
Age Restriction
newborn, infant or child
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