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OHIP Billing for Anesthesia Age Premiums
OHIP Billing for Anesthesia Age Premiums
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Written by Meagan Annmarie Sweeney
Updated over a week ago

The following codes are now automated for payment purposes (as of June 1, 2008).

E014C - newborn to 28 days

E009C - 29 days to a year

E019C - 1 year to 8 years inclusive

E007C - adult 70 - 79 inclusive

E018C- adult 80 and older

For service dates on, or after June 1, 2008, it’s no longer necessary to submit these fee codes for payment, as the extra units will be calculated and paid automatically.

Any fee codes submitted with service dates on, or after June 1, 2008, will be paid at $0 with explanatory code 30 (This Service is Not a Benefit of OHIP). 

Payment for all age premiums will appear as an accounting adjustment on the Remittance Advice (RA) with the description “Anaesthetic Age Premium”.

Note: E021C (premature newborn less than 37 weeks gestational age) has not been automated and should continue to be claimed as part of claims submission.

If you have any questions regarding Anesthesia Age Premiums’, please don’t hesitate to contact us here

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