Emergency Services Provided with Delivery
The non-operative continuing care surcharge fees (fee items 01205, 01206, 01207) apply to the actual delivery only, not to standby time or the first stage of labour. State the continuous time spent with the patient during second or third stages of labour only.
|Tip:||Be sure your note record clearly states "Second Stage", "Third Stage", Or "Fully Dilated" to enable the claims processing system to process the " claim correctly.|
The non-operative continuing care surcharge fees (fee items 01205, 01206, 01207) may also be billed in addition to fee item 14199 (management of prolonged second stage of labour, per 30 minutes or major portion thereof) when applicable.
|Fee item 14199: Timing begins after the first two hours of continuous care for the second stage of labour|
|Fee items 01205 - 01207: Timing begins after the first 30 minutes of continuous care for the second stage of labour.|
Only one emergency visit fee (e.g., fee item 00112) or call-out charge (fee items 01200, 01201, 01202) is routinely payable with delivery. Additional callbacks prior to delivery are not normally paid for routine, expected follow-ups because these services are considered included in the fee established for the delivery.
|Note:||If there are serious, unexpected complications that require the physician's immediate attendance (such as foetal distress) the appropriate visit(s) and/or call-out charge(s) may be billed. Provide details of the serious, unexpected complications requiring the physician's immediate care or use a specific ICD9 code to avoid payment delays/refusals.|