minor
comprehensive
multi-system
re-assessment

minor
comprehensive
multi-system
re-assessment

minor
comprehensive
multi-system
re-assessment

minor
comprehensive
multi-system
re-assessment

nights: 00-0800h (not with “H” codes)
day/eve: 08-2400h (not with “H” codes)

life threatenting:1st 15 mins
2nd 15 mins
each 15 mins after (max 4)

other resus: 1st 15 mins
each 15 mins after (max 2)

Emergency Physician (EP) on duty or on call for pre-arranged period/shift:
07-1800h max 2 separate special visits
18-2400h max 3 separate special visits
00-0700h all separate special visits
all subsequent pts billed with “H” codes

EP not on duty – not in conjunction with pre-arranged designated period of time on duty
“A” & “K” for first pt seen
all subsequent pts billed as “H”

Non EP on call/who is detained b/c of high volume
“A” & “K” for first 10 pts seen
all subsequent pts billed as “H”

Day 07-1700h first patient
Day 07-1700h subsequent (max) pts
Evening 17-2400h first patient
Evening 17-2400h subsequent (max) pts
Night 0000h-0700h first patient
Night 0000h-0700h subsequent (max) pts

Mini Assessment
Minor assessment
Intermediate assessment
General assessment
Pronouncement/certification of death
Certification of death

EP admits to other MRP (inpt interim admit orders)
EP admits to other MRP at their request
EP admits and is the MRP

FRCP consultation
All other EM consultations

Eve-Wkd procedures 18-2400h
Night procedures 24-0800h

Counselling/donor (per ½ hr)
Counselling/education (per ½ hr)
Counselling/family – 2 or more members in attendance
Counselling relatives re terminally ill (per ½ hr)
(Counselling not to be billed in conjunction with other consults/visits)
Form 1 Mental Health Assessment
Psychotherapy (30 min or major part thereof)
Rehabilitation counselling
Interview with CAS not for the purpose of obtaining consent
STD Management ½ hr (includes H&P, tests, etc)

Ground Ambulance (per 15 mins)
Air ambulance (per 15 mins)
Return w/out pt to place of original (pr/30mins)
Non ambulance (per 15 mins)

Cardioversion
Transvenous Pacemaker
Pericardiocentesis

Thoracentesis (dx)
Thoracentesis (tx)

Chalazion-excision
Epistaxis – anterior pack unilateral
Epistaxis – ant & post pack unilateral or bilateral
Epistaxis – cautery unilateral
Eye enucleation
Eyelid abscess I&D
FB ear, simple
FB eye (1)
FB eye (2)
FB eye (3 or more)
FB nose, simple
FB nose, complicated
FB larynx
Laryngoscopy (indirect)
Laryngoscopy (direct w removal of FB)
Laryngoscopy FB removal (direct)
Syringe/curetting ears (uni or bilateral)
Tonometry
Tooth extraction (1)
Tooth extraction (each additional)
Tracheostomy tube change
Particle reposition - BPPV

Anoscopy
Drainage cath replace in abdomen
Fecal disempaction
Foley catheter
Gastrostomy tube change
Haemoccult
Nasogastric tube – diagnostic
Nastogastric tube – therapeutic
Prostatic massage
Sigmoidoscopy

Non OBGYN attending L&D/CS resus newborn
Pap smear

Arterial puncture – ABG’s
Arterial line
Central venous line
Chest tube
Drainage/effusion/pneumothorax
Gastric lavage (diagnostic)
Gastric lavage (therapeutic)
IM, subcutaneous injection
Injection/aspiration bursa/joint/ganglion (1)
Injection/aspiration bursa/joint/ganglion (>1)
Intraosseous line
IV adult
IV infant/child
IV cutdown
Lumbar puncture
Paracentesis/abd (diagnostic)
Paracentesis/abd (therapeutic)
Peritoneal lavage
Police Blood Demand
Venipuncture-adult
Venipuncture-child
Venipuncture-infant

Amputate phalanx hand
Burn: debride & excise (d&e): per hand/each digit
Burn: d&e: dorsum palm-each
Burn: d&e: face/scalp/neck each
Burn: d&e: per % body, not hand,head,neck
Chest tube
Cyst removal face/neck – one
Cyst removal face/neck – two
Cyst removal face/neck - >3
Debride & dress burns – major (unable to bill Z176)
Extensive debridement
Ext. tendon repair
Flexor tendon
Foreign body removal skin
foreign body muscle
Gastrostomy-tube change
I&D abscess/hematoma (1)
I&D abscess/hematoma (2)
I&D hemorrhoid
I&D ischiorectal/pilonidal
I&D perianal abscess
Intubation (ET)
Muscle repair (complex) Requires lttr to MOH
Nail ingrown (simple/wedge)
Nail ingrown (multiple)
Nail removal radical
Pericardiocentesis
Plastic repair, very minor
Plastic repair, minor
Secondary closure
Skin lesion, excise/suture (1)
Skin lesion excise/suture (2)
Skin lesion excise/suture (>3)

Eyelid repair laceration – full thick
Laceration under 5cm (@50% for glue/steristrips)
Laceration under 5cm, face/bleeder/layers
Laceration 5.1-10cm
Laceration 5.1-10cm, face/bleeder/layers
Laceration 10.1-15cm
Laceration 10.1-15cm face/bleeder/layers
Secondary closure

Block allowed in addition to procedure for: pudendal, femoral, intercostal, sciatic, ilioinguinal, ulnar, median, radial, brachial
Epidural for pain relief
Mental branch of mandibular nerve
Maxillary or mandibular division of trigeminal nerve
Ilioinguinal and iliohypogastric nerve
Infraorbital
Intercostal nerve
Intercostal nerve – each additional one
Intrapleural block (single injection)

Emergency Case (ASA III only)
Age 29 Days - 1 year
Age 1 - 8 Years
Age 70 - 79 Years
Age > 80 Years
BMI > 45
Prone position
ASA III
ASA IV

Monday - Friday 17:00 - 24:00 hrs
Sat/Sun/Holiday 07:00 - 24:00 hrs
Nights Everyday 24:00 - 07:00 hrs

Cast removal
Hand cast/splint
Finger cast/splint
Foot cast/splint
Forearm cast/splint
Leg below knee/cast splint
Leg (whole) cast/splint
Shoulder spica
Toes/cast splint
Wedging of casts in other than # tx

Acromio/Sterno-clavic-closed red’n with anesth
Acromio/Sterno-clavic-no red’n
Ankle – closed red’n
Hip – closed
Carpal – closed red’n
Elbow (pulled)-radial head – closed red’n
Elbow – closed red’n
Finger – closed red’n
Finger (additional)
Glenohumeral – closed red’n
Glenohumeral – w anesthetic
Metacarpal/phalangeal – closed red’n
Metacarpal (additional)
Patella – closed red’n
TMJ – closed red’n
Toe – closed red’n
Toe (additional)

Ankle: no red’n – rigid immobilization
Ankle: closed red’n
Carpus: no red’n
Colles: no red’n – rigid immobilization
Colles: closed red’n
Fibula: no red’n – rigid immobilization
Humeral neck: no red’n rigid immob
Humeral shaft: no red’n – rigid immob
Metacarpal: no red’n/rigid immob
Metacarpal: closed red’n
Metatarsus – no red’n – rigid immob
Nasal bones, w manip of nasal septum: closed red’n
Olecranon: no red’n
Os calcis: no red’n-rigid immob.
Phalanx (foot): no red’n
Phalanx (foot): each additional
Phalanx (hand): no red’n/rigid immob.
Phalanx (hand): closed red’n
Phalanx (hand): each additional
Phalanx open fracture
Radius & ulna: no red’n
Radius or ulna: no red’n
Radius or ulna: closed red’n
Scaphoid: rigid immob.
Tibia: no red’n – rigid immob.
Tibia (c or s fib) closed red’n
Transcondylar/condylar: no red’n

Completion of home care request form
Acute Home Care Supervision (max 1/2wks for first 12 wks, following admission to home care program ) It is probably billable if the patient has to come back to the ED (after being set up with Home Care - K070) for follow-up, because he/she doesn't have a family physician

Completion of MOT form

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