All codes
P020
P020 – Operative delivery
OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits
Operative delivery, defined as any of: i) forceps or vacuum-assisted delivery, ii) breech delivery, or iii) shoulder dystocia using advanced maneuvers
When to Use
- Use P020 for vaginal deliveries requiring vacuum or forceps assistance, breech extraction, or advanced maneuvers for shoulder dystocia.
- Use P020 as the primary code for the first infant in a multiple birth scenario where the first delivery is operative and the second is spontaneous or operative.
Common Pitfalls
- Do not bill separately for the repair of a first or second-degree tear or episiotomy extension, as these are included in the P020 fee.
- Avoid billing P020 for a spontaneous vaginal delivery; P006 is the correct code for non-operative vaginal births.
- Failure to apply the 85% reduction rule for the second infant in a multiple birth delivery is a common audit trigger.
Billing Tips
- Ensure you append the appropriate after-hours or weekend premium (E409 or E410) to the P020 fee when the procedure commences outside of standard daytime hours.
- If performing a VBAC, remember to add the E502 flat fee to your P020 claim to capture the additional complexity of the delivery.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.