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Billing code

E410A — Premium nights (midnight - 0700)

Night procedure premium

Adds 75% to the procedural fee for an eligible non-elective procedure started between 00:00 and 07:00 by a non-emergency physician.

Watch for: Not for elective procedures unless delayed by an emergency; emergency department physicians bill E413 instead.

Code

E410A

Description

Premium nights (midnight - 0700)

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 3, 2020

Termination date

No end date

Explanation

Updated October 26, 2026

+75% night premium on the procedural fee for eligible procedures started between 00:00 and 07:00 by a non-emergency department physician.

What it covers

E410 increases the procedural fee by 75% for an eligible procedure started at night, 00:00 to 07:00 (GP104).

It is for physicians other than emergency department physicians; the emergency department physician's version is E413 (+40%) (GP104).

Billing rules

• Only for non-elective surgical procedures (including fractures and dislocations), obstetrical deliveries, clinical procedures with diagnostic radiological exams, K101, K111, K102, K112 or the listed major invasive procedures (GP103-GP104).
• The procedure must be non-elective, or an elective procedure delayed into the night by an intervening emergency surgical procedure (GP104).
• Not payable for a procedure by an emergency department physician; they bill E413 when billing H-prefix emergency services (GP104).
• For a special visit to do a non-elective surgical procedure at night, claim the consultation or assessment, the special visit premium, the procedural fee and E410 (SP2).
• Surgical assistants and anaesthetists have their own night premiums, E401B and E401C (GP87, GP94).
• FHO: E410A is one of the codes an Income Stabilization physician may bill at full fee-for-service (Agreement p.99).

Often billed with

• P006 vaginal delivery or P009 attendance at labour and delivery, since obstetrical deliveries are eligible (GP104, K6-K7).
• E411 sole delivery premium when it is the only delivery that calendar day, up to 25 per physician per fiscal year (K7).

Related codes: E409, E413, E412, E401, E400, P006, P009, E411

Source: Schedule of Benefits (July 1, 2026), General Preamble, Other Premiums, After Hours Procedure Premiums, pages GP103-GP104; Surgical Preamble SP2; Obstetrics K3 and K7.

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