Emergency Surgery and Surgery Bumped by Emergency Surgery
Operative continuing care surcharges (fee items 01210, 01211, 01212) are applicable only to emergency surgery or to elective surgery that, because of intervening emergency surgery, starts within the designated times (i.e., 1800 - 0800 hours, weekend, or statutory holiday).
|Fee items 01210, 01211 and 01212|
(1800 hrs. to 2300 hrs.) 32.77% of surgical (or assistant)
(2300 hrs. to 0800 hrs.) 52.54% of surgical (or assistant)
- minimum charge $60.44
- maximum charge $416.88
Sunday or Statutory Holiday (call placed between 0800 hrs.
and 1800 hrs.) 32.77% of surgical (or assistant) fee
|i.||The appropriate item for billing is determined by the period in which the major portion of the surgical time is spent.|
|Claim must state time surgery commenced.|
For surgery that would normally be considered elective (e.g., sterilization) but that has been unexpectedly delayed by emergency surgery, ensure that your note record indicates, "bumped by emergency surgery" for correct payment of your claim. For surgical services bumped by emergency surgery, the surgery must commence within the designated times.
When surgery is normally considered elective and is performed under the same anaesthetic as an emergency surgery, surgical surcharges apply to the entire surgical fee.
Operative continuing care surcharges are applicable only to surgical procedure(s) requiring general, spinal, or epidural anaesthesia and/or requiring at least 45 minutes of surgical time.
The appropriate item for billing is determined by the time in which the major portion of the surgery is performed.