BC ED billing pocket card
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Level codes 018TL: T = time, L = level
| Day 0800–1759 | Evening 1800–2259 | Night 2300–0759 | Weekend/stat 0800–2259 | |
|---|---|---|---|---|
| L1 | 01811 $44.35 | 01821 $49.14 | 01831 $73.67 | 01841 $59.23 |
| L2 | 01812 $93.48 | 01822 $102.88 | 01832 $148.93 | 01842 $123.02 |
| L3 | 01813 $118.23 | 01823 $128.14 | 01833 $186.43 | 01843 $153.80 |
- Hour of Power: 0700–0759 still bills at night rates.
- Sat/Sun evenings: bill 184x, it pays more than 182x.
- Start time = first chart review or first patient contact, whichever is earlier.
- One level code per encounter; a second only for a genuinely new condition with its own Dx.
Consult and reassessment
01810 | Consult: referred in by another provider (CCFP-EM/FRCPC). Beats every day and evening level; at night L2/L3, on weekends L3 pay more | $148.42 |
01882 | Reassessment: ≥2 h after L2 or consult start, ≥3 h after L3. Once per encounter, always paid in full | $32.33 |
The 50% rule
Level code + procedure: the greater fee at 100%, the lesser fee(s) at 50%. E.g. L1 day + 13611: $75.71 + $22.18 = $97.89.
Always paid in full: resus 01870, reassessment 01882, phone and advice codes, 01883, Mental Health Act codes.
Resuscitation
01870 $31.56 per 5 min or part, added to the level code in full. The level code's time must be outside the resus window. Includes intubation, IO, CVC, chest tube and pacemaker. A consult counts as 30 min of resus. Billing the procedure instead: 01091 intubation $184.07, 07145 IO $103.59, Y33025 cardioversion $105.70, under the 50% rule.
| Resus beats… | Day | Evening | Night | Weekend/stat |
|---|---|---|---|---|
| intubation with L2 | >20 min | >20 min | >15 min | >15 min |
| intubation with L3 | >15 min | >15 min | >10 min | >15 min |
| cardioversion with L2 | >5 min | >5 min | >5 min | >5 min |
| cardioversion with L3 | >5 min | >5 min | >5 min | >5 min |
Second EP (no level code): 01870 or the procedure at full fee, whichever pays more.
Mental Health Act
00065 | First certification (no level code; rejected if the patient was ever certified before) | $117.94 |
00066 | Repeat certification, billed with a level code: often the better default | $53.00 |
00067 | Decertification (commonly missed: reassess + decertify = 01882 + 00067) | $52.87 |
Common procedures (add to level code, 50% rule)
13610 | Laceration, no anesthetic (glue, strips) | $40.64 |
13611 | Laceration with anesthetic (sutures, staples) | $75.71 |
13612 | Extensive laceration over 5 cm, per cm | $15.19/cm |
13605 | Superficial abscess I&D | $50.75 |
07059 | Deep abscess I&D, local | $83.30 |
01124 | Peripheral nerve block, single | $65.62 |
51016 | Splint or cast (510XX; $11.88 at 50%) | $23.76 |
54701 | Distal radius reduction, no GA | $270.86 |
54702 | Distal radius reduction, with GA (includes sedation) | $327.12 |
52722 | Shoulder reduction, with GA | $255.56 |
01883 | Speculum exam, incl. IUD removal (paid in full) | $40.00 |
00021 | Blood transfusion administered | $40.79 |
EM-only codes that replace the level: 01850 clavicle $107.99, 01851 fibula/malleolus $93.40. If the chart supports L2 or L3, bill whichever pays more.
Procedural sedation
01172 | Sedation L2, per 15 min or part (the default) | $51.66/unit |
01173 | Sedation L3, same rate: complex or high-risk only | $51.66/unit |
Modifiers per unit: 1164 age 70–79 +$20.84 · 1165 80+ +$42.50 · 1169 BMI over 35 +$12.50 | ||
13052 | Anesthetic evaluation: sedation-only path, charted ~30 min before sedation (per common practice). Or skip it and start the sedation clock at bedside arrival, assessment included | $64.41 |
A with-GA procedure code (54702, 52722…) includes sedation: never bill sedation codes with any procedure code.
Phone and advice (paid in full)
14018 | You called a specialist (CCFP-EM) | $50.44 |
78711 | You called a specialist (FRCPC) | $60.00 |
14021 | A physician called you for advice, call up to 22 min (CCFP-EM only) | $69.64 |
01881 | A provider called you for advice (FRCPC or CCFP-EM): 1 unit for a call up to 22 min, 2 units ($120.00) for a call over 22 min | $60.00/unit |
01880 | Necessary follow-up call from home to a patient seen in the last 14 days* | $44.35 |
* The call is meant to change management in some way. Calling from the hospital instead: bill Level 1 at the time-of-day rate (per common practice; not written in the MSC schedule).
Statutory holidays (weekend/stat rates 0800–2259)
Oct 12, 2026: Thanksgiving Day · Nov 11, 2026: Remembrance Day · Dec 25, 2026: Christmas Day · Dec 26, 2026: Boxing Day · Jan 1, 2027: New Year's Day · Feb 15, 2027: Family Day · Mar 26, 2027: Good Friday · Mar 29, 2027: Easter Monday · May 24, 2027: Victoria Day · Jul 1, 2027: Canada Day · Aug 2, 2027: B.C. Day · Sep 6, 2027: Labour Day · Sep 30, 2027: National Day for Truth and Reconciliation