13.99JA
Management of complex labour, per 15 minutes
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.
