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4.      Amendment List

 The following list highlights the amendments that are effective April 1, 2002. For complete information, please refer to the April 2002 edition of the Schedule of Benefits. Fees are shown only for new and revised fees.

Page

Fee Code

Description

Fee

N - New

R - Revised

D - Deleted

ix

GP B.3.d

Anesthetic consultation A/C015

 

R

xii

GP B.3.m

Special palliative care consultation A/C945

 

R

xiv

GP B.4.f

Complex medical specific re-assessment

 

N

xiv, xv

GP B.4.i

Intermediate assessment - pronouncement of death

 

R

xvi

GP B.4.n

Comprehensive assessment and care

 

R

xvii

GP B.4.o

Detention - geriatric or geriatric psychiatric consultation, psychiatric or pediatric neurodevelopmental consultation and midwife requested special assessment

 

R

xvii

K101

Detention in ambulance - Ground ambulance transfer

 

R

xvii

K112

Detention in ambulance - Return trip without patient

24.55

N

xxii

GP B.5.d

Emergency Department, Emergency Physician on Duty

 

R

xxiv

GP B.6

Admission to Hospital from ED or OPD

 

R

xxvii

GP B.7.5(iv)

Other terms and definitions - Counseling

 

R

xxx

GP B.11

Maximums, minimums and unit-based services

 

R

xxxi

GP B.12

Defined terms and expressions

 

R

xxxvi

E101B

Surgical assistant standby premium

1 unit /15 min

N

xli

E008C

Anesthetic premium for patient with incapacitating disease

 

D

xli

E009C

Anesthetic premium - infant aged 29 days to 1 year

4 units

R

xli

E011C

Anesthesia premium - patient in prone position

4 units

N

xli

E014C

Anesthesia premium - newborn 28 days and younger

5 units

R

xli

E018C

Anesthesia premium - Adult >80 years of age

2 units

N

xli

E022C

Anesthesia premium - Patients ASA 3

2 units

N

xli

E017C

Anesthesia premium - Patients ASA 4

10 units

N

xli

E016C

Anesthesia premium - Patients ASA 5

20 units

N

xli

E019C

Anesthesia premium - infant or child aged 1 to 8 years

2 units

N

xli

E021C

Anesthetic premium - premature newborn < 37 weeks gestation

9 units

N

xlii

GP.B.23

Special visit premiums

 

R

xliv

K990 to K997

Special visit premiums for visits to emergency department

 

R (8)

xliv

 

Special visit premiums for visits to hospital out-patient department

 

 

 

U990

Daytime (07:00 - 18:00h) - first patient

17.85

N

 

U991

-     additional patient - add to consultation or visit fee

30%

N

 

U992

Emergency call with sacrifice of office hours - first patient

35.60

N

 

U993

-     additional patient - add to consultation or visit fee

30%

N

 

U994

Evening (18:00 - 24:00h) Monday to Friday or daytime and evenings on Saturday, Sunday or holiday - first patient

50.05

N

 

U995

-     additional patient - add to consultation or visit fee

45%

N

 

U996

Nights (00:00 - 07:00h) -first patient

75.10

N

 

U997

-     additional patient - add to consultation or visit fee

68.75%

N

lii

General Preamble B.32

Fee-for-service claims for emergency dept. AFA services

 

N

D4

Appendix D

Surface pathology - removal or treatment of warts on head or neck of patients aged 15 or younger

 

R

A1, 3, xxiv

A/C933

On-call admission assessment

 

R (2)

A2, 3, 5, xiv, xv

A/C/W771

Certification of death

17.30

N (3)

A2, 3, xvii

A/C813

Midwife-requested assessment

57.30

N, R

A2, 3, xvii

A/C815

Midwife-requested special assessment

112.35

N, R

A4, xxiv

H105

In-patient Interim Admission Orders

17.30

N

A4

 

H132

H133

H131

H134

Emergency Dept. - Monday to Friday - evenings (18:00 to 24:00h)

Comprehensive assessment and care

Multiple systems assessment

Minor assessment

Re-assessment

 

35.15

31.10

15.45

15.45

 

N

N

N

N

 


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