Paediatrics MSP billing codes


Consultations

Code Description Amount
00510 CONSULTATION, PAEDIATRICS $22,211.00
00511 CONSULTATION FOR COMPLEX CONDITION - CHILD $42,393.00
00512 CONSULTATION, LIMITED, PAEDIATRICS $10,209.00
00545 PEDIATRIC CASE CONFERENCE $6,019.00
00550 CONSULT-PEDIATRICS-EXTENDED-EXCEEDING 52 MINUTES $28,981.00
00551 CONSULT-PEDIATRICS-EXTENDED-EXCEEDING 68 MINUTES $35,671.00

Visits

Code Description Amount
00505 EMERGENCY VISIT - PEDIATRICS $12,575.00
00506 DIRECTIVE CARE, PAEDIATRICS $9,873.00
00507 VISIT, OFFICE, PAEDIATRICS $6,689.00
00508 VISIT, HOSPITAL, PAEDIATRICS $9,873.00
00509 VISIT, HOME, PAEDIATRICS $15,200.00
00513 GROUP COUNSELLING- PAEDIATRICS $12,382.00
00514 VISIT, PROLONGED, PAEDIATRICS COUNSELLING $8,918.00
00515 GROUP COUNSELLING - PAEDIATRICS $6,191.00
00553 VISIT, OFFICE-PEDIATRICS-EXTENDED-> 23 MINUTES $14,252.00
00554 VISIT, OFFICE-PEDIATRICS-EXTENDED-> 38 MINUTES $20,271.00
00552 PEDIATRIC COMPLEX SUBSEQUENT OFFICE VISIT >12 MINS $97.82
00597 ANTENATAL FOLLOW-UP VISIT-PEDIATRICS $36.81

Special Procedures

Code Description Amount
00523 EXCHANGE TRANSFUSION - PROCEDURAL FEE $45,283.00
00525 INSERTION OF INTRA-ARTERIAL INFUSION LINE, INFANTS $9,449.00
00526 INSERTION OF INTRAVENOUS INFUSION LINE, UNDER 5 $5,652.00
00527 ECG AND INTERPRETATION OFFICE (PAED.) $3,450.00
00528 ECG AND INTERPRETATION HOME (PAED.) $4,796.00
00529 ECG, INTERPRETATION ONLY, (PAED.) $1,208.00
00530 GRADED EXERCISE TEST, PAED. - TECHNICAL FEE $4,258.00
00531 GRADED EXERCISE TEST, PAED. - TOTAL FEE $10,471.00
00532 ECG AND INTERPRETATION CHILDREN (UNDER 2 YEARS) $5,652.00
00533 ECG - PROFESSIONAL FEE (UNDER 2 YEARS) $1,326.00
00534 ECG - TECHNICAL FEE (UNDER 2 YEARS) $4,326.00
00535 GRADED EXERCISE TEST, PAED - PROFESSIONAL FEE $6,212.00
00539 RECTAL SUCTION BIOPSY $10,500.00
00540 24 HOUR INTRA-ESOPHAGEAL PH STUDY IN CHILDREN $24,245.00
00541 PEDIATRIC URETHRAL 0-4 YEARS - ISOLATED PROCEDURE $1,966.00
93120 E.C.G. TRACING, WITHOUT INTERPRETATION (TECHNICAL) $16.70

Chemotherapy

Code Description Amount
00578 CANCER CHEMOTHERAPY-HIGH INTENSITY PATIENTS 0-16YR $24,020.00
00579 CANCER CHEMOTHERAPY-MAJOR INTENSITY PATIENTS 0-16 $18,560.00
00580 CANCER CHEMOTHERAPY-LIMITED INTENSITY 0-16 YEARS $10,917.00

Diagnostic Procedures

Code Description Amount
00570 LUMBAR PUNCTURE IN A PATIENT 12 YEARS AND YOUNGER $8,188.00
00571 PEDIATRIC ESOPHAGOGASTRODUODENOSCOPY - 0-16 YEARS $19,650.00
00572 PEDIATRIC COLONOSCOPY-FLEX COLONOSCOPE 0-16 YEARS $36,028.00
00750 LUMBAR PUNCTURE - PATIENTS 13 + YEARS OF AGE $5,458.00
00755 ARTERY PUNCTURE $633.00
50520 PEDIATRIC RIGHT HEART CATHETER PATIENTS 0-6 YEARS $354.31
50521 PEDIATRIC RIGHT HEART CATHETER PATIENTS 7-16 YEARS $265.72
50527 PEDIATRIC RETROGRADE LEFT HEART CATH,EXTRA 0-6YRS $283.38
50528 PEDIATRIC RETROGRADE LEFT HEART CATH,EXTRA 7-16 YR $212.52
50530 PEDIATRIC TRANS-SEPTAL LEFT HEART CATH 0-6 YEARS $381.87
50531 PEDIATRIC TRANS-SEPTAL LEFT HEART CATH 7-16 YEARS $286.40
50539 PEDIATRIC PERCUTANEOUS TRANSLUMINAL 0-6 YEARS $806.58
50540 PEDIATRIC PERCUTANEOUS TRANSLUMINAL 7-16 YEARS $604.94
50541 PEDIATRIC DIRECT CORONARY ANGIOGRAPHY 0 -6 YEARS $425.21
50542 PEDIATRIC DIRECT CORONARY ANGIOGRAPHY / 7-16 YEARS $318.90
50545 PEDIATRIC THERAPEUTIC RADIOLOGICAL PATIENTS 0-6YRS $739.59
50546 PEDIATRIC THERAPEUTIC RADIOLOGICAL PATIENTS 7-16YR $554.72
50550 PERCUTANEOUS CARDIAC STENTING 0-18 YEARS $1,037.16
50551 PERCUTANEOUS CARDIAC STENTING-0-18 YR ADDTL STENTS $218.36
50555 PERCUTANEOUS TRANSCATHETER CARDIAC OCCLUDER 0-18YR $1,037.16
50522 PEDIATRIC MYOCARDIAL BIOPSY FOR 0-16 YRS AGE,EXTRA $101.79

Neonatal Intensive Care

Code Description Amount
01511 NEONATAL ICU - LEVEL A - DAY 1 $628.74
01512 NEONATAL ICU - LEVEL B - DAY 1 $461.12
01513 NEONATAL ICU - LEVEL C - DAY 1 $398.21
01521 NEONATAL ICU - LEVEL A - DAY 2 - 10 $251.47
01522 NEONATAL ICU - LEVEL B - DAY 2 - 10 $167.69
01523 NEONATAL ICU - LEVEL C - DAY 2 - 10 $123.07
01531 NEONATAL ICU - LEVEL A - DAY 11 ONWARD $167.69
01532 NEONATAL ICU - LEVEL B - DAY 11 ONWARD $124.60
01533 NEONATAL ICU - LEVEL C - DAY 11 ONWARD $98.73

Other

Code Description Amount
50506 TELEHEALTH DIRECTIVE CARE - PAEDIATRICS $98.73
50507 TELEHEALTH SUBSEQUENT OFFICE VISIT - PAEDIATRICS $66.89
50508 TELEHEALTH SUBSEQUENT HOSPITAL VISIT - PAEDIATRICS $98.73
50510 TELEHEALTH CONSULTATION, PAEDIATRICS $222.11
50511 TELEHEALTH COMPLEX CONSULTATION, PAEDIATRICS $423.93
50512 TELEHEALTH REPEAT OR LIMITED CONSULT, PAEDIATRICS $102.09
50514 TELEHEALTH PROLONGED VISIT FOR COUNSELLING PAEDIAT $89.18