Paediatrics MSP billing codes


Consultations

Code Description Amount
00510 CONSULTATION, PAEDIATRICS $217.98
00511 CONSULTATION FOR COMPLEX CONDITION - CHILD $416.05
00512 CONSULTATION, LIMITED, PAEDIATRICS $100.20
00545 PEDIATRIC CASE CONFERENCE $59.40
00550 CONSULT-PEDIATRICS-EXTENDED-EXCEEDING 52 MINUTES $284.43
00551 CONSULT-PEDIATRICS-EXTENDED-EXCEEDING 68 MINUTES $355.29

Visits

Code Description Amount
00505 EMERGENCY VISIT - PEDIATRICS $123.42
00506 DIRECTIVE CARE, PAEDIATRICS $78.77
00507 VISIT, OFFICE, PAEDIATRICS $65.64
00508 VISIT, HOSPITAL, PAEDIATRICS $78.77
00509 VISIT, HOME, PAEDIATRICS $78.77
00513 GROUP COUNSELLING- PAEDIATRICS $121.52
00514 VISIT, PROLONGED, PAEDIATRICS COUNSELLING $87.52
00515 GROUP COUNSELLING - PAEDIATRICS $60.76
00553 VISIT, OFFICE-PEDIATRICS-EXTENDED-> 23 MINUTES $139.87
00554 VISIT, OFFICE-PEDIATRICS-EXTENDED-> 38 MINUTES $198.94
00552 PEDIATRIC COMPLEX SUBSEQUENT OFFICE VISIT >12 MINS $80.34
00597 ANTENATAL FOLLOW-UP VISIT-PEDIATRICS $36.32

Special Procedures

Code Description Amount
00523 EXCHANGE TRANSFUSION - PROCEDURAL FEE $444.42
00525 INSERTION OF INTRA-ARTERIAL INFUSION LINE, INFANTS $92.73
00526 INSERTION OF INTRAVENOUS INFUSION LINE, UNDER 5 $55.46
00527 ECG AND INTERPRETATION OFFICE (PAED.) $33.85
00528 ECG AND INTERPRETATION HOME (PAED.) $47.07
00529 ECG, INTERPRETATION ONLY, (PAED.) $11.85
00530 GRADED EXERCISE TEST, PAED. - TECHNICAL FEE $41.79
00531 GRADED EXERCISE TEST, PAED. - TOTAL FEE $102.76
00532 ECG AND INTERPRETATION CHILDREN (UNDER 2 YEARS) $55.46
00533 ECG - PROFESSIONAL FEE (UNDER 2 YEARS) $13.01
00534 ECG - TECHNICAL FEE (UNDER 2 YEARS) $42.46
00535 GRADED EXERCISE TEST, PAED - PROFESSIONAL FEE $60.97
00539 RECTAL SUCTION BIOPSY $103.05
00540 24 HOUR INTRA-ESOPHAGEAL PH STUDY IN CHILDREN $237.94
00541 PEDIATRIC URETHRAL 0-4 YEARS - ISOLATED PROCEDURE $19.29
93120 E.C.G. TRACING, WITHOUT INTERPRETATION (TECHNICAL) $16.39

Chemotherapy

Code Description Amount
00578 CANCER CHEMOTHERAPY-HIGH INTENSITY PATIENTS 0-16YR $235.73
00579 CANCER CHEMOTHERAPY-MAJOR INTENSITY PATIENTS 0-16 $182.15
00580 CANCER CHEMOTHERAPY-LIMITED INTENSITY 0-16 YEARS $107.14

Diagnostic Procedures

Code Description Amount
00570 LUMBAR PUNCTURE IN A PATIENT 12 YEARS AND YOUNGER $80.36
00571 PEDIATRIC ESOPHAGOGASTRODUODENOSCOPY - 0-16 YEARS $192.85
00572 PEDIATRIC COLONOSCOPY-FLEX COLONOSCOPE 0-16 YEARS $353.58
00750 LUMBAR PUNCTURE - PATIENTS 13 + YEARS OF AGE $53.56
00755 ARTERY PUNCTURE $6.28
50520 PEDIATRIC RIGHT HEART CATHETER PATIENTS 0-6 YEARS $347.72
50521 PEDIATRIC RIGHT HEART CATHETER PATIENTS 7-16 YEARS $260.78
50527 PEDIATRIC RETROGRADE LEFT HEART CATH,EXTRA 0-6YRS $278.11
50528 PEDIATRIC RETROGRADE LEFT HEART CATH,EXTRA 7-16 YR $208.57
50530 PEDIATRIC TRANS-SEPTAL LEFT HEART CATH 0-6 YEARS $374.77
50531 PEDIATRIC TRANS-SEPTAL LEFT HEART CATH 7-16 YEARS $281.08
50539 PEDIATRIC PERCUTANEOUS TRANSLUMINAL 0-6 YEARS $791.58
50540 PEDIATRIC PERCUTANEOUS TRANSLUMINAL 7-16 YEARS $593.69
50541 PEDIATRIC DIRECT CORONARY ANGIOGRAPHY 0 -6 YEARS $417.30
50542 PEDIATRIC DIRECT CORONARY ANGIOGRAPHY / 7-16 YEARS $312.97
50545 PEDIATRIC THERAPEUTIC RADIOLOGICAL PATIENTS 0-6YRS $725.84
50546 PEDIATRIC THERAPEUTIC RADIOLOGICAL PATIENTS 7-16YR $544.40
50550 PERCUTANEOUS CARDIAC STENTING 0-18 YEARS $1,017.88
50551 PERCUTANEOUS CARDIAC STENTING-0-18 YR ADDTL STENTS $214.30
50555 PERCUTANEOUS TRANSCATHETER CARDIAC OCCLUDER 0-18YR $1,017.88
50522 PEDIATRIC MYOCARDIAL BIOPSY FOR 0-16 YRS AGE,EXTRA $100.45

Neonatal Intensive Care

Code Description Amount
01511 NEONATAL ICU - LEVEL A - DAY 1 $617.06
01512 NEONATAL ICU - LEVEL B - DAY 1 $452.55
01513 NEONATAL ICU - LEVEL C - DAY 1 $390.80
01521 NEONATAL ICU - LEVEL A - DAY 2 - 10 $246.80
01522 NEONATAL ICU - LEVEL B - DAY 2 - 10 $164.57
01523 NEONATAL ICU - LEVEL C - DAY 2 - 10 $120.77
01531 NEONATAL ICU - LEVEL A - DAY 11 ONWARD $164.57
01532 NEONATAL ICU - LEVEL B - DAY 11 ONWARD $122.28
01533 NEONATAL ICU - LEVEL C - DAY 11 ONWARD $78.77

Other

Code Description Amount
50506 TELEHEALTH DIRECTIVE CARE - PAEDIATRICS $78.77
50507 TELEHEALTH SUBSEQUENT OFFICE VISIT - PAEDIATRICS $65.64
50508 TELEHEALTH SUBSEQUENT HOSPITAL VISIT - PAEDIATRICS $78.77
50510 TELEHEALTH CONSULTATION, PAEDIATRICS $217.98
50511 TELEHEALTH COMPLEX CONSULTATION, PAEDIATRICS $416.05
50512 TELEHEALTH REPEAT OR LIMITED CONSULT, PAEDIATRICS $100.20
50514 TELEHEALTH PROLONGED VISIT FOR COUNSELLING PAEDIAT $87.52