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P014C
P014C – Continuous conduction anaesthesia
OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits
The service for the introduction of a catheter for labour analgesia, including the first dose of medication with or without any combined spinal-epidural injection(s), has a value of 7 basic units (Source: `:109, :525).
As this service falls under the definition of general anaesthesia, the specific elements for general anaesthesia apply to P014C, P016C, and E100C (Source: `:110). The specific elements of general anaesthesia include a pre-anaesthetic evaluation, the anaesthetic procedure, and post-anaesthetic follow-up (Source: `:106).
When to Use
- Use P014C for the initial placement of an epidural or combined spinal-epidural (CSE) catheter for labour analgesia.
- Use P014C when the service includes the insertion of the catheter and the administration of the first dose of medication.
Common Pitfalls
- Do not bill Z804 (time units) with P014C, as it is explicitly restricted under the Schedule of Benefits.
- Avoid billing additional anaesthesia units from the GP97 list unless they are specifically E010C, E022C, or E017C, as other add-ons will be rejected.
- Failure to document the pre-anaesthetic evaluation, the procedure, and post-anaesthetic follow-up will result in a failure to meet the 'general anaesthesia' element requirements for this code.
Billing Tips
- Ensure that if the patient meets the criteria for E010C, E022C, or E017C, these are appended to the P014C claim to capture the appropriate extra units.
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