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P010
P010 – Attendance of obstetric consultant(s) at delivery
OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits
This service covers the attendance of an obstetric consultant at a delivery. A note specifies that the amount payable for attendance by a physician other than an obstetric consultant at only the delivery is nil.
When to Use
- Use P010 when you are an obstetric consultant called to attend a delivery performed by another physician, such as a family physician or midwife, due to complications.
- Use this code when providing specialized obstetric expertise during the delivery process where you are not the primary accoucheur but are required for consultant-level attendance.
Common Pitfalls
- Do not bill P010 if you are the primary physician performing the delivery; you must bill the appropriate delivery code (e.g., P009) instead.
- Claims will be rejected if submitted by a physician who does not hold the required obstetric consultant designation, as the Schedule of Benefits explicitly states the fee is nil for non-consultants.
- Avoid billing P010 in conjunction with primary delivery codes for the same patient, as this is considered double-billing for the same clinical event.
Billing Tips
- Always append the appropriate After Hours Procedure Premium (E409 or E410) to P010 if the delivery commences outside of standard daytime hours to maximize the procedural fee.
- Ensure your clinical documentation clearly justifies the necessity of your consultant-level attendance at the delivery to support the claim during potential post-payment audits.
Provider Fee$211.20
Effective: April 1, 2025
Category
K. Obstetrics
Subcategory
OBSTETRICS
Service Type
Procedure
Code Classes
Obstetrics
Sex Restriction
Female
Amount payable for attendance of a physician other than an obstetric consultant at only delivery is nil.
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