MSP Billing Codes

Specialty: Pediatrics

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Code Description Fee

Chemotherapy

00578 High intensity cancer chemotherapy- patients 0-16yr $243.26
00580 Limited intensity cancer chemotherapy-patients 0-16 years $110.56
00579 Major intensity cancer chemotherapy-patients 0-16 $187.96

Diagnostic Procedures

00570 Lumbar puncture in a patient 12 years and younger $82.92
00572 Pediatric colonoscopy-flex colonoscope 0-16 years $364.86
50542 Pediatric direct coronary angiography / 7-16 years $322.96
50541 Pediatric direct coronary angiography 0 -6 years $430.62
00571 Pediatric esophagogastroduodenoscopy - 0-16 years $199.00
50522 Pediatric myocardial biopsy for 0-16 yrs age,extra $103.08
50539 Pediatric percutaneous transluminal 0-6 years $816.85

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50540 Pediatric percutaneous transluminal 7-16 years $612.64
50527 Pediatric retrograde left heart cath,extra 0-6yrs $286.99
50528 Pediatric retrograde left heart cath,extra 7-16 yr $215.22
50520 Pediatric right heart catheter patients 0-6 years $358.82
50521 Pediatric right heart catheter patients 7-16 years $269.10
50545 Pediatric therapeutic radiological patients 0-6yrs $749.01
50546 Pediatric therapeutic radiological patients 7-16yr $561.78
50530 Pediatric trans-septal left heart cath 0-6 years $386.73
50531 Pediatric trans-septal left heart cath 7-16 years $290.05
50550 Percutaneous cardiac stenting 0-18 years $1,050.37
50551 Percutaneous cardiac stenting-0-18 yr addtl stents $221.14
50555 Percutaneous transcatheter cardiac occluder 0-18yr $1,050.37

Miscellaneous

00545 Pediatric case conference $78.64
50571 Percutaneous transcatheter cardiac occluder 0-18yr $34.21
50572 Percutaneous transcatheter cardiac occluder 0-18yr $34.21
50573 Percutaneous transcatheter cardiac occluder 0-18yr $105.51

Referred Cases

00590 Antenatal consultation-pediatrics $141.41
00597 Antenatal follow-up visit-pediatrics $37.28
00552 Complex subsequent office visit >12 mins $103.20
00511 Consultation for complex condition - child $452.52
00512 Consultation, limited, paediatrics $103.39
00585 Diabetic ketoacidosis(dka)-1st day management $461.81
00506 Directive care, paediatrics $104.16
00505 Emergency visit - pediatrics $127.35
00550 Extended consultation-exceeding 53 minutes $331.08
00551 Extended consultation-exceeding 68 minutes $393.05
00554 Extended subsequent office visit, exceeding 38 minutes $230.94
00553 Extened subsequent office visit, exceeding 23 mins $158.48
00513 Group counselling, 1st full hour - paediatrics $125.40
00515 Group counselling, 2nd hour, 1/2 hour or major portion thereof - paediatrics $62.69
00514 Prolonged counselling visit, paediatrics $90.32
00509 Subsequent home visit, paediatrics $153.94
00508 Subsequent hospital visit, paediatrics $104.16
00507 Subsequent office visit, paediatrics $91.04
50511 Telehealth complex consultation, paediatrics $452.52
50515 Telehealth consult-pediatrics-extended > 53 mins $331.08
50516 Telehealth consult-pediatrics-extended >68 mins $393.05
50510 Telehealth consultation, paediatrics $241.36
50506 Telehealth directive care - paediatrics $104.16
50514 Telehealth prolonged visit for counselling paediat $90.32
50512 Telehealth repeat or limited consult, paediatrics $103.39
50508 Telehealth subsequent hospital visit - paediatrics $104.16
50507 Telehealth subsequent office visit - paediatrics $91.04
50517 Telehealth-complex office visit-pediatrics >12 min $103.20
50518 Telehealth-complex office visit-pediatrics >23 min $158.48
50519 Telehealth-complex office visit-pediatrics >38 min $230.94

Special Procedures

00540 24 hour intra-esophageal ph study in children $245.54
00532 Electrocardiogram and interpretation children (under 2 years) $57.24
00533 Electrocardiogram - interpretation (under 2 years) $13.43
00534 Electrocardiogram - technical fee (under 2 years) $43.81
00528 Electrocardiogram and interpretation home (paed.) $48.57
00527 Electrocardiogram and interpretation office (paed.) $34.94
00529 Electrocardiogram professional (paed.) $12.23
00523 Exchange transfusion - procedural fee $458.60
00535 Graded exercise test, paed - professional fee $62.91
00530 Graded exercise test, paed. - technical fee $43.12
00531 Graded exercise test, paed. - total fee $106.05
00525 Insertion of intra-arterial infusion line, infants $95.69
00526 Insertion of intravenous infusion line, under 5 $57.24
00541 Pediatric urethral catheterization in child <5 years $19.91
00539 Rectal suction biopsy in children $106.34

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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