Trauma-informed care acknowledges the need to understand a patient’s life experiences in order to deliver effective care. In Canada, more than half of transgender people, 1 in 3 women, and 1 in 8 men report experiencing sexual violence. Given this high prevalence, trauma-informed gynecologic care is a necessary element of physician practice.
The Section of Emergency Medicine has developed a new fee that recognizes the important work of providing trauma-informed comprehensive gynecologic assessments in emergency rooms. This fee is payable only to emergency physicians.
This new fee code is effective for dates of service on or after April 1, 2025.
01883 Trauma-informed comprehensive gynecologic assessment in an Emergency Department (extra)…………$40.00
Notes:
i) Payable only to emergency physicians.
ii) Payable only in addition to 01810, a level I emergency care fee (01811, 01821, 01831, 01841), a level II emergency care fee (01812, 01822, 01832, 01842), a level III emergency care fee (01813, 01823, 01833, 01843), an out-of-office visit (12200, 13200, 15200, 16200, 17200, 18220), or an out-of-office consultation (12210, 13210, 15210, 16210, 17210, 18210).
iii) Must include a speculum exam documented in the patient’s chart.
iv) Not payable with a procedural fee that includes a speculum exam, such as 14541.
Visit the Simplified Fee Guide for codes and tips for Emergency Medicine fee-for-service billing. You can also connect with the Section of Emergency Medicine (SEM) or Emergency Care BC for more specific ER resources.
Questions about this new fee? Reach out to the BC Family Doctors Billing Question Service for advice from our physician billing experts.