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Billing code

P038A — Attendance at labour – patient transferred for delivery

Labour care before transfer

Bill P038 when you attend a patient through labour and the patient is then transferred to another centre for delivery.

Watch for: Not payable if any part of labour attendance is missed: initial assessment, later assessments and ongoing monitoring.

Code

P038A

Description

Attendance at labour – patient transferred for delivery

FHO+ basket

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

Effective date

Apr 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Attending a patient in labour who is then transferred to another centre for delivery.

What it covers

P038 pays for attendance at labour when the patient is transferred to another centre for delivery (K6).

Attendance at labour means being in constant or periodic attendance during stages one and two of labour, without completing the delivery, and providing all aspects of care: the initial assessment, later assessments, ongoing monitoring, and intervening except where the intervention is separately billable (K1, item e).

Billing rules

• Not payable if any of the component services of attendance at labour is not rendered (K7 commentary).
• E411 sole delivery premium can be added to P038A when it is the only delivery service in the calendar day, up to 25 per physician per fiscal year (K7).
• FHO: P038A counts toward the labour and delivery special payment (Agreement p.66 §8.4). Income Stabilization physicians bill P038A at full fee-for-service (Agreement App. J §3.6, p.99).

Often billed with

• E411 sole delivery premium (K7).

Related codes: P009, P006, P010, E411, P007, P023

Source: Schedule of Benefits (July 1, 2026), Obstetrics, Labour - Delivery, page K6.

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