Paediatrics MSP billing codes


Consultations

Code Description Amount
00510 CONSULTATION, PAEDIATRICS $233.15
00511 CONSULTATION FOR COMPLEX CONDITION - CHILD $450.18
00512 CONSULTATION, LIMITED, PAEDIATRICS $102.86
00545 PEDIATRIC CASE CONFERENCE $71.12
00550 EXTENDED CONSULTATION-EXCEEDING 53 MINUTES $329.37
00551 EXTENDED CONSULTATION-EXCEEDING 68 MINUTES $391.02

Visits

Code Description Amount
00505 EMERGENCY VISIT - PEDIATRICS $126.69
00506 DIRECTIVE CARE, PAEDIATRICS $103.63
00507 SUBSEQUENT OFFICE VISIT, PAEDIATRICS $82.34
00508 SUBSEQUENT HOSPITAL VISIT, PAEDIATRICS $103.63
00509 SUBSEQUENT HOME VISIT, PAEDIATRICS $153.14
00513 GROUP COUNSELLING, 1ST FULL HOUR - PAEDIATRICS $124.75
00514 PROLONGED COUNSELLING VISIT, PAEDIATRICS $89.85
00515 GROUP COUNSELLING, 2ND HOUR, 1/2 HOUR OR MAJOR PORTION THEREOF - PAEDIATRICS $62.37
00553 EXTENED SUBSEQUENT OFFICE VISIT, EXCEEDING 23 MINS $157.68
00554 EXTENDED SUBSEQUENT OFFICE VISIT, EXCEEDING 38 MINUTES $224.27
00552 COMPLEX SUBSEQUENT OFFICE VISIT >12 MINS $102.68
00597 ANTENATAL FOLLOW-UP VISIT-PEDIATRICS $37.09

Special Procedures

Code Description Amount
00523 EXCHANGE TRANSFUSION - PROCEDURAL FEE $456.23
00525 INSERTION OF INTRA-ARTERIAL INFUSION LINE, INFANTS $95.20
00526 INSERTION OF INTRAVENOUS INFUSION LINE, UNDER 5 $56.94
00527 ELECTROCARDIOGRAM AND INTERPRETATION OFFICE (PAED.) $34.76
00528 ELECTROCARDIOGRAM AND INTERPRETATION HOME (PAED.) $48.32
00529 ELECTROCARDIOGRAM PROFESSIONAL (PAED.) $12.17
00530 GRADED EXERCISE TEST, PAED. - TECHNICAL FEE $42.90
00531 GRADED EXERCISE TEST, PAED. - TOTAL FEE $105.50
00532 ELECTROCARDIOGRAM AND INTERPRETATION CHILDREN (UNDER 2 YEARS) $56.94
00533 ELECTROCARDIOGRAM - INTERPRETATION (UNDER 2 YEARS) $13.36
00534 ELECTROCARDIOGRAM - TECHNICAL FEE (UNDER 2 YEARS) $43.58
00535 GRADED EXERCISE TEST, PAED - PROFESSIONAL FEE $62.59
00539 RECTAL SUCTION BIOPSY IN CHILDREN $105.79
00540 24 HOUR INTRA-ESOPHAGEAL PH STUDY IN CHILDREN $244.27
00541 PEDIATRIC URETHRAL CATHETERIZATION IN CHILD <5 YEARS $19.81
93120 E.C.G. TRACING, WITHOUT INTERPRETATION (TECHNICAL) $16.90

Chemotherapy

Code Description Amount
00578 HIGH INTENSITY CANCER CHEMOTHERAPY- PATIENTS 0-16YR $242.00
00579 MAJOR INTENSITY CANCER CHEMOTHERAPY-PATIENTS 0-16 $186.99
00580 LIMITED INTENSITY CANCER CHEMOTHERAPY-PATIENTS 0-16 YEARS $109.99

Diagnostic Procedures

Code Description Amount
00570 LUMBAR PUNCTURE IN A PATIENT 12 YEARS AND YOUNGER $82.49
00571 PEDIATRIC ESOPHAGOGASTRODUODENOSCOPY - 0-16 YEARS $197.97
00572 PEDIATRIC COLONOSCOPY-FLEX COLONOSCOPE 0-16 YEARS $362.98
00750 Lumbar puncture in a patient 13 years of age and over $54.99
00755 ARTERY PUNCTURE $6.38
50520 PEDIATRIC RIGHT HEART CATHETER PATIENTS 0-6 YEARS $356.97
50521 PEDIATRIC RIGHT HEART CATHETER PATIENTS 7-16 YEARS $267.71
50527 PEDIATRIC RETROGRADE LEFT HEART CATH,EXTRA 0-6YRS $285.51
50528 PEDIATRIC RETROGRADE LEFT HEART CATH,EXTRA 7-16 YR $214.11
50530 PEDIATRIC TRANS-SEPTAL LEFT HEART CATH 0-6 YEARS $384.73
50531 PEDIATRIC TRANS-SEPTAL LEFT HEART CATH 7-16 YEARS $288.55
50539 PEDIATRIC PERCUTANEOUS TRANSLUMINAL 0-6 YEARS $812.63
50540 PEDIATRIC PERCUTANEOUS TRANSLUMINAL 7-16 YEARS $609.48
50541 PEDIATRIC DIRECT CORONARY ANGIOGRAPHY 0 -6 YEARS $428.40
50542 PEDIATRIC DIRECT CORONARY ANGIOGRAPHY / 7-16 YEARS $321.29
50545 PEDIATRIC THERAPEUTIC RADIOLOGICAL PATIENTS 0-6YRS $745.14
50546 PEDIATRIC THERAPEUTIC RADIOLOGICAL PATIENTS 7-16YR $558.88
50550 PERCUTANEOUS CARDIAC STENTING 0-18 YEARS $1,044.94
50551 PERCUTANEOUS CARDIAC STENTING-0-18 YR ADDTL STENTS $220.00
50555 PERCUTANEOUS TRANSCATHETER CARDIAC OCCLUDER 0-18YR $1,044.94
50522 PEDIATRIC MYOCARDIAL BIOPSY FOR 0-16 YRS AGE,EXTRA $102.55

Neonatal Intensive Care

Code Description Amount
01511 NEONATAL ICU - LEVEL A - DAY 1 $633.46
01512 NEONATAL ICU - LEVEL B - DAY 1 $464.58
01513 NEONATAL ICU - LEVEL C - DAY 1 $401.20
01521 NEONATAL ICU - LEVEL A - DAY 2 - 10 $253.36
01522 NEONATAL ICU - LEVEL B - DAY 2 - 10 $168.95
01523 NEONATAL ICU - LEVEL C - DAY 2 - 10 $123.99
01531 NEONATAL ICU - LEVEL A - DAY 11 ONWARD $168.95
01532 NEONATAL ICU - LEVEL B - DAY 11 ONWARD $125.53
01533 NEONATAL ICU - LEVEL C - DAY 11 ONWARD $99.47

Other

Code Description Amount
50506 TELEHEALTH DIRECTIVE CARE - PAEDIATRICS $103.63
50507 TELEHEALTH SUBSEQUENT OFFICE VISIT - PAEDIATRICS $82.34
50508 TELEHEALTH SUBSEQUENT HOSPITAL VISIT - PAEDIATRICS $103.63
50510 TELEHEALTH CONSULTATION, PAEDIATRICS $233.15
50511 TELEHEALTH COMPLEX CONSULTATION, PAEDIATRICS $450.18
50512 TELEHEALTH REPEAT OR LIMITED CONSULT, PAEDIATRICS $102.86
50514 TELEHEALTH PROLONGED VISIT FOR COUNSELLING PAEDIAT $89.85