Paediatrics MSP billing codes


Consultations

Code Description Amount
00510 CONSULTATION, PAEDIATRICS $219.20
00511 CONSULTATION FOR COMPLEX CONDITION - CHILD $418.38
00512 CONSULTATION, LIMITED, PAEDIATRICS $100.76
00545 PEDIATRIC CASE CONFERENCE $59.40
00550 CONSULT-PEDIATRICS-EXTENDED-EXCEEDING 52 MINUTES $286.02
00551 CONSULT-PEDIATRICS-EXTENDED-EXCEEDING 68 MINUTES $352.04

Visits

Code Description Amount
00505 EMERGENCY VISIT - PEDIATRICS $124.11
00506 DIRECTIVE CARE, PAEDIATRICS $79.21
00507 VISIT, OFFICE, PAEDIATRICS $66.01
00508 VISIT, HOSPITAL, PAEDIATRICS $79.21
00509 VISIT, HOME, PAEDIATRICS $79.21
00513 GROUP COUNSELLING- PAEDIATRICS $122.20
00514 VISIT, PROLONGED, PAEDIATRICS COUNSELLING $88.01
00515 GROUP COUNSELLING - PAEDIATRICS $61.10
00553 VISIT, OFFICE-PEDIATRICS-EXTENDED-> 23 MINUTES $140.65
00554 VISIT, OFFICE-PEDIATRICS-EXTENDED-> 38 MINUTES $200.05
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 $446.91
00525 INSERTION OF INTRA-ARTERIAL INFUSION LINE, INFANTS $93.25
00526 INSERTION OF INTRAVENOUS INFUSION LINE, UNDER 5 $55.21
00527 ECG AND INTERPRETATION OFFICE (PAED.) $34.04
00528 ECG AND INTERPRETATION HOME (PAED.) $47.33
00529 ECG, INTERPRETATION ONLY, (PAED.) $11.92
00530 GRADED EXERCISE TEST, PAED. - TECHNICAL FEE $42.02
00531 GRADED EXERCISE TEST, PAED. - TOTAL FEE $103.34
00532 ECG AND INTERPRETATION CHILDREN (UNDER 2 YEARS) $55.77
00533 ECG - PROFESSIONAL FEE (UNDER 2 YEARS) $13.08
00534 ECG - TECHNICAL FEE (UNDER 2 YEARS) $42.70
00535 GRADED EXERCISE TEST, PAED - PROFESSIONAL FEE $61.31
00539 RECTAL SUCTION BIOPSY $103.63
00540 24 HOUR INTRA-ESOPHAGEAL PH STUDY IN CHILDREN $239.27
00541 PEDIATRIC URETHRAL 0-4 YEARS - ISOLATED PROCEDURE $19.40
93120 E.C.G. TRACING, WITHOUT INTERPRETATION (TECHNICAL) $16.45

Chemotherapy

Code Description Amount
00578 CANCER CHEMOTHERAPY-HIGH INTENSITY PATIENTS 0-16YR $234.67
00579 CANCER CHEMOTHERAPY-MAJOR INTENSITY PATIENTS 0-16 $181.33
00580 CANCER CHEMOTHERAPY-LIMITED INTENSITY 0-16 YEARS $106.66

Diagnostic Procedures

Code Description Amount
00570 LUMBAR PUNCTURE IN A PATIENT 12 YEARS AND YOUNGER $80.00
00571 PEDIATRIC ESOPHAGOGASTRODUODENOSCOPY - 0-16 YEARS $191.99
00572 PEDIATRIC COLONOSCOPY-FLEX COLONOSCOPE 0-16 YEARS $352.00
00750 LUMBAR PUNCTURE - PATIENTS 13 + YEARS OF AGE $53.32
00755 ARTERY PUNCTURE $6.25
50520 PEDIATRIC RIGHT HEART CATHETER PATIENTS 0-6 YEARS $346.16
50521 PEDIATRIC RIGHT HEART CATHETER PATIENTS 7-16 YEARS $259.61
50527 PEDIATRIC RETROGRADE LEFT HEART CATH,EXTRA 0-6YRS $276.86
50528 PEDIATRIC RETROGRADE LEFT HEART CATH,EXTRA 7-16 YR $207.64
50530 PEDIATRIC TRANS-SEPTAL LEFT HEART CATH 0-6 YEARS $373.09
50531 PEDIATRIC TRANS-SEPTAL LEFT HEART CATH 7-16 YEARS $279.82
50539 PEDIATRIC PERCUTANEOUS TRANSLUMINAL 0-6 YEARS $788.03
50540 PEDIATRIC PERCUTANEOUS TRANSLUMINAL 7-16 YEARS $591.03
50541 PEDIATRIC DIRECT CORONARY ANGIOGRAPHY 0 -6 YEARS $415.43
50542 PEDIATRIC DIRECT CORONARY ANGIOGRAPHY / 7-16 YEARS $311.57
50545 PEDIATRIC THERAPEUTIC RADIOLOGICAL PATIENTS 0-6YRS $722.59
50546 PEDIATRIC THERAPEUTIC RADIOLOGICAL PATIENTS 7-16YR $541.96
50550 PERCUTANEOUS CARDIAC STENTING 0-18 YEARS $1,013.32
50551 PERCUTANEOUS CARDIAC STENTING-0-18 YR ADDTL STENTS $213.34
50555 PERCUTANEOUS TRANSCATHETER CARDIAC OCCLUDER 0-18YR $1,013.32
50522 PEDIATRIC MYOCARDIAL BIOPSY FOR 0-16 YRS AGE,EXTRA $100.00

Neonatal Intensive Care

Code Description Amount
01511 NEONATAL ICU - LEVEL A - DAY 1 $614.30
01512 NEONATAL ICU - LEVEL B - DAY 1 $450.52
01513 NEONATAL ICU - LEVEL C - DAY 1 $389.05
01521 NEONATAL ICU - LEVEL A - DAY 2 - 10 $245.69
01522 NEONATAL ICU - LEVEL B - DAY 2 - 10 $163.83
01523 NEONATAL ICU - LEVEL C - DAY 2 - 10 $120.23
01531 NEONATAL ICU - LEVEL A - DAY 11 ONWARD $163.83
01532 NEONATAL ICU - LEVEL B - DAY 11 ONWARD $121.73
01533 NEONATAL ICU - LEVEL C - DAY 11 ONWARD $78.42

Other

Code Description Amount
50506 TELEHEALTH DIRECTIVE CARE - PAEDIATRICS $78.42
50507 TELEHEALTH SUBSEQUENT OFFICE VISIT - PAEDIATRICS $65.35
50508 TELEHEALTH SUBSEQUENT HOSPITAL VISIT - PAEDIATRICS $78.42
50510 TELEHEALTH CONSULTATION, PAEDIATRICS $217.00
50511 TELEHEALTH COMPLEX CONSULTATION, PAEDIATRICS $414.19
50512 TELEHEALTH REPEAT OR LIMITED CONSULT, PAEDIATRICS $99.75
50514 TELEHEALTH PROLONGED VISIT FOR COUNSELLING PAEDIAT $87.13