MSP Billing Codes

Specialty: Pediatrics

Code Description Fee
578 High intensity cancer chemotherapy- patients 0-16yr $243.26
579 Major intensity cancer chemotherapy-patients 0-16 $187.96
580 Limited intensity cancer chemotherapy-patients 0-16 years $110.56
570 Lumbar puncture in a patient 12 years and younger $82.92
571 Pediatric esophagogastroduodenoscopy - 0-16 years $199.00
572 Pediatric colonoscopy-flex colonoscope 0-16 years $364.86
50520 Pediatric right heart catheter patients 0-6 years $358.82
50521 Pediatric right heart catheter patients 7-16 years $269.10
50522 Pediatric myocardial biopsy for 0-16 yrs age,extra $103.08
50527 Pediatric retrograde left heart cath,extra 0-6yrs $286.99

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50528 Pediatric retrograde left heart cath,extra 7-16 yr $215.22
50530 Pediatric trans-septal left heart cath 0-6 years $386.73
50531 Pediatric trans-septal left heart cath 7-16 years $290.05
50539 Pediatric percutaneous transluminal 0-6 years $816.85
50540 Pediatric percutaneous transluminal 7-16 years $612.64
50541 Pediatric direct coronary angiography 0 -6 years $430.62
50542 Pediatric direct coronary angiography / 7-16 years $322.96
50545 Pediatric therapeutic radiological patients 0-6yrs $749.01
50546 Pediatric therapeutic radiological patients 7-16yr $561.78
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
545 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
505 Emergency visit - pediatrics $127.35
506 Directive care, paediatrics $104.16
507 Subsequent office visit, paediatrics $91.04
508 Subsequent hospital visit, paediatrics $104.16
509 Subsequent home visit, paediatrics $153.94
511 Consultation for complex condition - child $452.52
512 Consultation, limited, paediatrics $103.39
513 Group counselling, 1st full hour - paediatrics $125.40
514 Prolonged counselling visit, paediatrics $90.32
515 Group counselling, 2nd hour, 1/2 hour or major portion thereof - paediatrics $62.69
550 Extended consultation-exceeding 53 minutes $331.08
551 Extended consultation-exceeding 68 minutes $393.05
552 Complex subsequent office visit >12 mins $103.20
553 Extened subsequent office visit, exceeding 23 mins $158.48
554 Extended subsequent office visit, exceeding 38 minutes $230.94
585 Diabetic ketoacidosis(dka)-1st day management $461.81
590 Antenatal consultation-pediatrics $141.41
597 Antenatal follow-up visit-pediatrics $37.28
50506 Telehealth directive care - paediatrics $104.16
50507 Telehealth subsequent office visit - paediatrics $91.04
50508 Telehealth subsequent hospital visit - paediatrics $104.16
50510 Telehealth consultation, paediatrics $241.36
50511 Telehealth complex consultation, paediatrics $452.52
50512 Telehealth repeat or limited consult, paediatrics $103.39
50514 Telehealth prolonged visit for counselling paediat $90.32
50515 Telehealth consult-pediatrics-extended > 53 mins $331.08
50516 Telehealth consult-pediatrics-extended >68 mins $393.05
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
523 Exchange transfusion - procedural fee $458.60
525 Insertion of intra-arterial infusion line, infants $95.69
526 Insertion of intravenous infusion line, under 5 $57.24
527 Electrocardiogram and interpretation office (paed.) $34.94
528 Electrocardiogram and interpretation home (paed.) $48.57
529 Electrocardiogram professional (paed.) $12.23
530 Graded exercise test, paed. - technical fee $43.12
531 Graded exercise test, paed. - total fee $106.05
532 Electrocardiogram and interpretation children (under 2 years) $57.24
533 Electrocardiogram - interpretation (under 2 years) $13.43
534 Electrocardiogram - technical fee (under 2 years) $43.81
535 Graded exercise test, paed - professional fee $62.91
539 Rectal suction biopsy in children $106.34
540 24 hour intra-esophageal ph study in children $245.54
541 Pediatric urethral catheterization in child <5 years $19.91

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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