NOTE: 1. Resuscitation is defined as the emergency treatment of an unstable patient whose condition may result in imminent mortality without such intervention. 2. May be claimed when this service follows a consultation or hospital visit earlier in the same day as defined under GR 1.19. 3. When the condition of the patient is such that further care is provided, either before or after the patient is resuscitated, at a level consistent with the description of HSC 13.99H, 13.99HA, 13.99J, 13.99K, 13.99KA or 13.99KB, time spent providing that care may be claimed using these HSCs. Concurrent claims for overlapping time for the same or different patients may not be claimed. 4. If two claims for HSC 13.99E at different encounters are submitted by the same or different physician, text is required. 5. Two physicians may not claim HSC 13.99E for concurrent care. The second and subsequent physician involved in the resuscitation may claim HSC 13.99EC.

NOTE: 1. Resuscitation is defined as the emergency treatment of an unstable patient whose condition may result in imminent mortality without such intervention. 2. May only be claimed for the time spent when the physician is directly involved in assisting the primary physician in a resuscitation. 3. May not be claimed in addition to other procedures or visits at the same encounter by the same physician. 4. May not be claimed for Medical Emergency Team (MET) coverage.

NOTE: 1. Benefit includes patient assessment and necessary interventions including priority attendance, initial stabilization of patient with establishment of peripheral intravenous access, administration of oxygen, insertion of urinary catheter, initiation of appropriate medications and airway control for 'life-threatening' calling criteria. 2. May only be claimed by a Critical Care Specialists whose role is to respond as part of a recognized hospital Rapid Response or Medical Emergency Team when patients fulfill activation criteria and where intervention by physician is required to prevent death or support failing organ systems. 3. Concurrent claims for overlapping time for the same or different patients may not be claimed. 4. If two claims for HSC 13.99EB at different encounters are submitted by the same or different physician, text is required. 5. Two physicians may not claim HSC 13.99EB or 13.99E for concurrent care on the same day.

NOTE: May be claimed in addition to delivery benefits regardless of who performs the delivery.

NOTE: 1. Benefit includes the consultation and, when indicated, establishment of peripheral intravenous access, administration of oxygen, insertion of urinary catheter, spinal stabilization, oropharyngeal airway, and insertion of chest tube(s). 2. May only be claimed by the coordinating surgical specialist. 3. May be claimed in addition to a major surgical procedure by the same physician. 4. May only be claimed for referred cases. 5. Subsequent days of trauma care should be claimed using HSC 03.05B if a major surgical procedure has not been claimed by the same physician. 6. Following the seventh day of trauma care, the appropriate level of hospital care should be claimed using HSC 03.03D. 7. May be claimed in addition to care provided by intensivists.

NOTE: 1. May only be claimed when a patient presents with a serious condition requiring at least a two hour stay in the active treatment portion of the emergency department or care results in hospitalization. The two hour period criterion does not apply in cases where the patient dies after having been seen. 2. Time may be claimed on a cumulative basis per day (defined as 0001 to 2400), and may include time spent with the patient, review of patient history including diagnostics, review of patient prescriptions and other activities the physician does in relation to the patient's care on the same date of service. 3. Time spent providing services compensated elsewhere in the Schedule, e.g., family conferences and procedures, may not be included in time claimed for HSC 13.99H. 4. Major treatment intervention is defined as a medical intervention which prevents or treats a condition that may result in significant morbidity.

NOTE: 1. May only be claimed when a patient presents with a serious condition requiring at least a two hour stay in the active treatment portion of the AACC or UCC or care results in hospitalization. The two hour period criterion does not apply in cases where the patient dies after having been seen. 2. Time may be claimed on a cumulative basis per day (defined as 0001 to 2400), and may include time spent with the patient, review of patient history including diagnostics, review of patient prescriptions and other activities the physician does in relation to the patient's care on the same date of service. 3. Time spent providing services compensated elsewhere in the Schedule, e.g., family conferences and procedures, may not be included in time claimed for HSC 13.99HA. 4. Major treatment intervention is defined as a medical intervention which prevents or treats a condition that may result in significant morbidity.

NOTE: May only be claimed when a physician personally and continuously attends a patient with the following conditions: air/gas embolism, severe CO poisoning, clostridial myonecrosis (gas gangrene), decompression sickness, necrotizing soft tissue infections, chronic diabetic leg and/or foot ulcers resistant to all forms of conventional therapy, radiation tissue damage (osteoradionecrosis), osteoradionecrosis (mandible), osteomyelitis (refractory), skin grafts and flaps (compromised), therapeutically irradiated patients requiring osseointegrated implants (dental implant following radiotherapy).

NOTE: 1. Time may be claimed on a cumulative basis per day (defined as 0001 to 2400), and may include time spent with the patient, review of patient history including diagnostics, review of patient prescriptions and other activities the physician does in relation to the patient's care on the same date of service. 2. Time spent providing services compensated elsewhere in the Schedule, e.g., family conferences and procedures, may not be included in time claimed for HSC 13.99J. 3. Supporting information must be submitted. 4. May be claimed by a physician during the time he/she is medically required to personally and continuously attend and treat an illness or injury of an emergency nature. 5. May not be claimed for such services as: - counseling or psychotherapy except for crisis intervention situations; - waiting for the results of laboratory or radiological examination; - giving advice to family members or the patient; - waiting for a family physician or consultant; - attendance at labour or fetal monitoring (see HSC 13.99JA); 6. Detention time may not be claimed if the service was provided in the office in conjunction with routine visits except when it is documented that an emergency existed. 7. Illness of an "emergency nature" may apply to mental or emotional disorders as well as to physical illness. 8. If a visit benefit is claimed, the detention time benefit may not be claimed until thirty minutes after the start of the visit. 9. Only HSC 13.99J or procedures provided during the same encounter (with the exception of HSC 13.99E) may be claimed, but not both. Concurrent claims for overlapping time for the same or different patients may not be claimed. 10. A maximum of 16 calls per physician per day may be claimed in any location other than a physician's office. 11. A maximum of 8 calls per physician per day may be claimed in the physician's office.

NOTE: 1. Time may be determined on a cumulative basis. 2. May be claimed for complex or non-progressive labour where the physician is actively managing a higher risk labour (defined as prolonged labour exceeding 12 hours during the first stage of labour or 1 hour during the second stage of labour, non-progressive labour, non-reassuring fetal/maternal status, multiple gestation, pregnancy induced hypertension, HELLP, insulin dependent diabetes, antepartum hemorrhage, prelabour ruptured membranes, non-reassuring fetal heart tracing, multiple pregnancy and preterm labour, seizure disorder, unstable patient). 3. May only be claimed when the physician is on-site and immediately available or when called to monitor or reassess the patient with complex or non-progressing labour. 4. Only HSC 13.99JA or the services relating to labour provided may be claimed, but not both. Concurrent billing for overlapping time for separate patient encounters/services may not be claimed. 5. May be claimed in addition to HSCs 86.9 B, 86.9 D or 87.98A. 6. May not be claimed in addition to HSCs 87.98B or 87.98C. 7. A maximum of twelve 15 minute units may be claimed per patient per pregnancy.

NOTE: Refer to the notes following HSC 13.99KB.

NOTE: Refer to the notes following HSC 13.99KB.

NOTE: 1. Supporting information must be submitted for HSCs 13.99K, 13.99KA and 13.99KB. 2. May be claimed by a physician during the time he/she is medically required to personally and continuously attend a patient being transported by surface or air ambulance. 3. Only time in attendance with the patient may be claimed. 4. Concurrent billing for overlapping time for separate patient encounters/services may not be claimed. 5. A maximum of 20 calls applies.

NOTE: 1. To be claimed using the Personal Health Number of the donor. 2. Payable for direct attendance by the physician. 3. Total time to be determined on a cumulative basis.

NOTE: 1. A maximum of 16 calls may be claimed. 2. Time taken for forensic evidence is not to be included in total time.

NOTE: May only be claimed by Pediatric, Internal Medicine and Respiratory Medicine specialists.

NOTE: 1. May only be claimed by Pediatric, Internal Medicine and Respiratory Medicine specialists. 2. Daily fee includes all visit services provided including callbacks during a 24-hour period. 3. A maximum of 30 days may be claimed.

NOTE: May only be claimed by Pediatric and Internal Medicine specialists.

NOTE: 1. May only be claimed by Pediatric and Internal Medicine specialists. 2. Daily fee includes all visit services provided including callbacks during a 24-hour period. 3. A maximum of 30 days may be claimed.

NOTE: The daily fee for 13.99Y and 13.99Z, includes all visit services including callbacks during a 24 hour period.

NOTE: 1. May only be claimed for out of province patients. 2. May only be claimed by endocrinologists. 3. To include all services relating to the pre-transplant assessment for patients undergoing pancreatic or islet cell transplantation.