Billing code
E412A — After-hours procedure premium — ED physician — evenings, weekends and holidays
ED evening and weekend premium
Adds 20% to an eligible procedure by an emergency department physician on weekday evenings or weekend or holiday daytime and evenings.
Watch for: Only when billing H-prefix emergency codes; must be on the same claim as the eligible procedure, and nights use E413.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.01 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- E412A
- Description
- After-hours procedure premium — ED physician — evenings, weekends and holidays
- 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
Adds 20% to an eligible procedure fee when an ED physician billing H codes does it on a weekday evening, or a weekend or holiday daytime or evening.
What it covers
E412 increases the procedural fee by 20% for procedures done by an Emergency Department physician on weekday evenings (17:00–24:00) or during daytime and evenings on Saturdays, Sundays and holidays (GP104).
Eligible procedures are non-elective surgical procedures (including fractures and dislocations), obstetrical deliveries, clinical procedures associated with diagnostic radiology, K101, K111, K102, K112, and the listed major invasive procedures (GP103–GP104).
Billing rules
- Only payable when the ED physician is, at the time, required to submit claims using H-prefix emergency codes (GP104).
- The procedure must be non-elective, or elective but delayed by an intervening surgical emergency into the premium period (GP104).
- Nights (00:00–07:00) are E413 (+40%), not E412 (GP104).
- Physicians other than ED physicians use E409 (+50%) or E410 (+75%) instead (GP104).
Often billed with
- Non-elective surgical procedures such as laceration repair (Z154, Z177) (GP103–GP104).
- Listed major invasive procedures such as G211 or G269 (GP104).
Common rejections
- AD9: A premium cannot be paid alone; E412 must be on the same claim as an eligible procedure (GP104).
Related codes: E413, E409, E410
Source: Schedule of Benefits (July 1, 2026), General Preamble, Other Premiums, page GP104.
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