Amendment to Fee Items 01870 and 01871 (Effective January 17, 2020)

Effective January 17, 2020, the description and notes for fee items P01870 and P01871 have been amended as follows:

P01870 Emergency Medicine Resuscitation fee: Treatment of acute life-threatening emergency that requires constant bedside resuscitative care - per 5 minutes or portion thereof.

Notes:

I) Applicable only to emergency physicians designated by the medical staff who are on hospital emergency department duty and designated on-site. Not applicable to on call emergency physicians. (see emergency medicine preamble).

Ii) Includes endotracheal intubation, cricothyrotomy, vascular access (including inraosseous), invasive monitoring, chest tube drainage, and pacemaker insertion and/or other procedures which are central to the resuscitation for acute life-threatening emergencies.

Iii) Start and end times must be entered in both the billing claims and the patient's chart.

Iv) If multiple patients are resuscitated, the billings shall be for consecutive, non-overlapping time periods and services are to be claimed for each individual patient or for concurrent services the whole time shall be claimed on only one patient on whom the majority of time was spent. No more than 12 units may be claimed within a 60-minute period.

V) When a consultation is charged in addition to the resuscitation Fee, for billing purposes, the consultation shall constitute a half hour of the time spent with the patient. Start and end Times for the consultation must also be entered in both the billing claims and the patient's chart.

Vi) Emergency level fees and other procedure fees not considered life, limb or sight saving which are not included in note ii) and/or central to the resuscitation for acute life-threatening emergencies, by the same practitioner on the same day are payable if not performed concurrently. Start and end times for these fees must also be entered in both the billing claims and the patient's chart.

Vii) Out-of-office hours premiums are not applicable.

P01871 Trauma Team Leader Resuscitation fee: Treatment of acute life-threatening emergency that requires constant bedside resuscitative care - per 5 minutes or part thereof

Notes:

I) Appliable only to trauma team leaders on contract with a health Authority to provide on call trauma team leader services and where the contract does not include provision of this service. Not applicable for general surgery trauma team leaders.

Ii) Includes endotracheal intubation, cricothyrotomy, vascular Access (including intraosseous), invasive monitoring, chest tube drainage, and pacemaker insertion and/or other procedures which are central to the resuscitation for acute life-threatening emergencies.

Iii) Start and end times must be entered in both the billing claims and the patient's chart.

Iv) If multiple patients are resuscitated, the billings shall be for consecutive, non-overlapping time periods and services are to be claimed for each individual patient or for concurrent services the whole time shall be claimed on only one patient on whom the Majority of time was spent. No more than 12 units may be claimed within a 60-minute period.

V) When a consultation is charged in addition to the resuscitation Fee, for billing purposes, the consultation shall constitute a Half hour of the time spent with the patient. Start and end times for the consultation must also be entered in both the Billing claims and the patient's chart.

Vi) Emergency level fees and other procedure fees not considered Life, limb or sight saving which are not included in note ii) And/or central to the resuscitation for acute life-threatening Emergencies, by the same practitioner on the same day are Payable if not performed concurrently. Start and end times for these fees must also be entered in both the billing claims and the patient's chart.

Vii) Out-of-office hours premiums are applicable if physician is specially called to render emergency or non-elective services and only when the physician must travel from one location to Another to attend the patient(s). Claims must be submitted with a note record.