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Billing code

P009A — Attendance At Labour And Delivery

Labour and delivery attendance

Bill P009 when a physician who isn't an obstetric consultant attends labour and delivery to assist, give the anaesthetic, or resuscitate the newborn.

Watch for: You can't also claim anaesthesia or assistant units for the same patient, and it isn't payable if any labour attendance component is missed.

Code

P009A

Description

Attendance At Labour And Delivery

FHO+ basket

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

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Attendance at labour and delivery by a non-consultant who assists at the delivery or surgery, gives the anaesthetic, or resuscitates the newborn.

What it covers

P009 is payable to a physician other than an obstetric consultant for attending labour and delivery when that physician assists at vaginal delivery or surgery, gives the anaesthetic at a caesarean section or operative delivery, or resuscitates the newborn (K6-K7).

Attendance at labour is constant or periodic attendance through stages one and two of labour without completing the delivery: the initial assessment, later assessments as needed and ongoing monitoring (K1). Attendance at delivery has the specific elements of surgical assistants' services (K1, GP85).

Billing rules

• Only for a physician who is not an obstetric consultant, in one of the three roles above (K6).
• Not payable if any of the component services of attendance at labour isn't rendered (K7).
• A physician who claims P009 can't also claim anaesthesia or assistant units for the same patient (K7).
• No physician can claim P009 when the patient was transferred to a second physician for normal obstetrical care (K3).
• If the patient is transferred to another centre for delivery, bill P038 instead (K6).
• Attending only the delivery pays nil for a non-consultant; the obstetric consultant's attendance at delivery is P010 (K7).
• FHO: P009A counts toward the labour and delivery special payment (Agreement p.66 §8.4); the hourly rate payments don't apply to labour and delivery care (Agreement p.63 §6.5).

Often billed with

• E409 (evenings, weekends and holidays) or E410 (nights) for a non-elective delivery in those periods (GP103-GP104).
• E411 sole delivery premium, which is payable with P009A (K7).
• E414 high risk obstetrical premium when one of its listed conditions is present (K8).
• P023 oxytocin infusion when labour was induced or augmented for a recognized complication (K2, K10).

Related codes: P038, P010, P006, P020, E411, E414

Source: Schedule of Benefits (July 1, 2026), Obstetrics, Labour - Delivery, Attendance at labour and delivery, pages K6-K7 (preamble K1-K3); General Preamble GP85, GP103-GP104; FHO Agreement (April 2026) p.63, p.66

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