OHIP Billing Codes
Specialty: Laboratory Medicine
| Code | Description | Fee |
|---|---|---|
|
|
||
| G001 | Cholesterol, total | 5.8 |
| G002 | Glucose, quantitative or semi-quantitative | 2.31 |
| G004 | Occult blood | 1.61 |
| G005 | Pregnancy test | 3.96 |
| G009 | Urinalysis, routine (includes microscopic examination of centrifuged specimen plus any of SG, pH, protein, sugar, haemoglobin, ketones, urobilinogen, bilirubin)- | 4.55 |
| G010 | One or more parts of above without microscopy | 2.18 |
| G011 | Fungus culture including KOH preparation and smear | 13.3 |
| G012 | Wet preparation (for fungus, trichomonas, parasites) | 1.97 |
| G014 | Rapid streptococcal test | 5.8 |
| G015 | FSH (pituitary gonadotrophins) | 11.6 |
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| G016 | TSH (thyroid stimulating hormone) | 10 |
| G017 | Prolactin | 14.75 |
| G018 | Estradiol | 29 |
| G019 | LH (luteinizing hormone) | 9.5 |
| G020 | Progesterone | 14.75 |
| G021 | HCG (human chorionic gonadotrophins) quantitative | 15.8 |
| G022 | Testosterone | 14.75 |
| G023 | Testosterone, free | 26.35 |
| G024 | Androstenedione | 39.55 |
| G025 | Dehydroepiandrosterone sulphate (DHEAS) | 21.1 |
| G026 | 17OH-progesterone | 31.65 |
| G027 | Seminal fluid examination (complete) | 11.6 |
| G028 | Cervicovaginal mucous specimen for cellular analysis for postcoital testing | 10.55 |
| G029 | Antithrombin III assay | 29 |
| G030 | Circulating anticoagulant (eg, lupus anticoagulant) | 5.25 |
| G031 | Prothrombin time | 6.55 |
| G032 | Anti-DNA | 23.75 |
| G033 | Anti-RNA | 23.75 |
| G034 | Serial tube 4 or more antigens | 15.8 |
| G035 | Titre - serial tube single antigen | 7.9 |
| G036 | Sperm antibodies screen | 10.55 |
| G037 | Sperm antibodies titre | 21.1 |
| G039 | Creatinine | 1.05 |
| G040 | Drugs of abuse screen, urine, must include testing for at least four drugs of abuse - per test | 15.3 |
| G041 | Target drug testing, urine, qualitative or quantitative - per test | 3.77 |
| G042 | Target drug testing, urine, qualitative or quantitative - per test | 2.55 |
| G043 | Drugs of abuse screen, urine, must include testing for at least four drugs of abuse - per test | 7.65 |
| G481 | Haemoglobin screen and/or haematocrit (any method or instrument) | 1.4 |
| L800 | Haematopathology - Blood film interpretation (Romanowsky stain) | 23.15 |
| L801 | Anatomic Pathology - Surgical Pathology - Metabolic bone studies | 97.2 |
| L802 | Haematopathology - Bone marrow interpretation (Romanowsky stain) | 45.35 |
| L803 | Cytogenetics - Karyotype | 75.45 |
| L804 | Anatomic Pathology - Cytopathology - Smear, specific assessment e.g. eosinophils, asbestos bodies, amniotic fluid cells for estimation of fetal maturation | 14.6 |
| L805 | Anatomic Pathology - Cytopathology - Aspiration biopsy e.g. lung, breast, thyroid, prostate | 85.55 |
| L806 | Anatomic Pathology - Cytopathology - Bronchial, oesophageal, gastric, endometrial or other brushings and washings | 36.95 |
| L807 | Cytogenetics - Smear for sex chromatin (Barr Body) or Neutrophil drumsticks | 5.05 |
| L808 | Anatomic Pathology - Cytopathology - Imprint, touch preparation and/or direct smear | 37.1 |
| L810 | Anatomic Pathology - Cytopathology - Fluids e.g. pleural, ascitic cyst, pericardial, C.S.F., urine and joint | 25.5 |
| L811 | Cytogenetics - Y chromosome | 6.15 |
| L812 | Anatomic Pathology - Cytopathology - Cervical vaginal specimens including all types of cellular abnormality, assessment of flora, and/or cytohormonal evaluation | 4.7 |
| L815 | Anatomic Pathology - Cytopathology - Sputum per specimen for general and/or specific assessment e.g. cellular abnormalities, asbestos bodies, lipids, haemosiderin | 37.1 |
| L816 | Special Procedures and Interpretation - Histology or Cytology - Electron microscopy by TEM, STEM or SEM technique | 99.9 |
|
L831
- analytical electron microscopy, elemental detection or mapping, electron diffraction, per case - add
|
50.35 | |
| L817 | Special Procedures and Interpretation - Histology or Cytology - Anti-tissueantibodies and interpretation - per case | 6.15 |
|
L842
- anti-tissueantibodies, screening dilution, titration and interpretation - add
|
8.6 | |
| L819 | Anatomic Pathology - Cytopathology - Seminal fluid analysis for infertility, including count, motility and morphology | 13.85 |
| L820 | Anatomic Pathology - Cytopathology - Smear for spermatozoa | 8.3 |
| L822 | Anatomic Pathology - Surgical Pathology - Operative consultation, with or without frozen section | 78.75 |
|
L823
- each subsequent frozen section or direct smear and/or selection of tissue for biochemical assay eg estrogen receptors - add
|
39 | |
| L824 | Anatomic Pathology - Cytopathology - Synovial fluid analysis, including description, viscosity, mucin clot, cell count, and compensated polarized light microscopy for crystals | 25.2 |
| L825 | Anatomic Pathology - Cytopathology - Compensated polarized light microscopy for synovial fluid crystals | 13.05 |
| L826 | Haematopathology - Blood film interpretation (special stain) | 15.45 |
| L827 | Biochemistry and Immunology - Interpretation of carcinoembryonic antigen (CEA) | 5.4 |
| L828 | Biochemistry and Immunology - Interpretation of hormone receptors for carcinoma to include estrogen and/or progesterone assays | 8.1 |
| L829 | Haematopathology - Haemoglobinopathy interpretation (payable for abnormal results only) | 14.95 |
| L830 | Haematopathology - Terminal transferase by immunofluorescence | 12.1 |
| L832 | Special Procedures and Interpretation - Histology or Cytology - Xray diffraction analysis and interpretation | 24.2 |
| L833 | Anatomic Pathology - Surgical Pathology - Nerve teasing | 143.6 |
| L834 | Special Procedures and Interpretation - Histology or Cytology - Histochemistry of muscle - 1 to 3 enzymes | 15.45 |
|
L835
- eachadditional enzyme - add
|
15.45 | |
| L836 | Special Procedures and Interpretation - Histology or Cytology - Morphometry per parameter | 25.2 |
| L837 | Special Procedures and Interpretation - Histology or Cytology - Immunohistochemistry and interpretation - per marker | 15.9 |
| L838 | Haematopathology - Leukocyte phenotyping by monoclonal antibody technique | 20.2 |
| L841 | Special Procedures and Interpretation - Histology or Cytology - Enzyme histochemistry and interpretation - per enzyme | 15.45 |
| L843 | Special Procedures and Interpretation - Histology or Cytology - Special microscopy of tissues including polarization, interference phase contrast, dark field, autofluorescence or other microscopy and interpretation | 24 |
| L844 | Special Procedures and Interpretation - Histology or Cytology - Special microscopy of fluids (polarization, interference, phase contrast, dark field, autofluorescence or other microscopy and interpretation) | 14.85 |
| L845 | Special Procedures and Interpretation - Histology or Cytology - Specimen radiography or microradiography and interpretation | 10.6 |
| L846 | Special Procedures and Interpretation - Histology or Cytology - Flow cell cytometry and interpretation - per marker | 12.85 |
| L847 | Special Procedures and Interpretation - Histology or Cytology - Caffeine - halothane contracture test and other confirmatory tests for malignant hyperthermia | 66.45 |
| L848 | Anatomic Pathology - Cytopathology - Seminal fluid analysis - quantitative kinetic studies, including velocity linearity and lateral head amplitude | 30.25 |
| L849 | Special Procedures and Interpretation - Histology or Cytology - Interpretation and handling of decalcified tissue | 15.5 |
| L861 | Anatomic Pathology - Surgical Pathology - Surgical Pathology, Level 1 | 5.3 |
| L862 | Anatomic Pathology - Surgical Pathology - Surgical Pathology, Level 2 | 8.6 |
| L863 | Anatomic Pathology - Surgical Pathology - Surgical Pathology, Level 3 | 14.6 |
| L864 | Anatomic Pathology - Surgical Pathology - Surgical Pathology, Level 4 | 49.65 |
| L865 | Anatomic Pathology - Surgical Pathology - Surgical Pathology, Level 5 | 105.25 |
| L866 | Anatomic Pathology - Surgical Pathology - Surgical Pathology, Level 6 | 185.3 |
| L867 | Anatomic Pathology - Surgical Pathology - Surgical Pathology, Unlisted specimens | 47.6 |
| L868 | Special Procedures and Interpretation - Histology or Cytology - Special histochemistry for identification of microorganisms | 35.75 |
| L869 | Special Procedures and Interpretation - Histology or Cytology - Special histochemistry for identification of elements other than microorganisms | 15.85 |
| Z403 | Bone marrow aspiration | 43.25 |
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.
OHIP Billing Codes
-
- Family Practice & Practice In General (00)
- Anaesthesia (01)
- Dermatology (02)
- General Surgery (03)
- Neurosurgery (04)
- Community Medicine (05)
- Orthopaedic Surgery (06)
- Orthorpaedic Surgery (06)
- Geriatrics (07)
- Plastic Surgery (08)
- Cardiac Surgery (09)
- Neurology (18)
- Gastroenterology (41)
- Internal And Occupational Medicine (13)
- Endocrinology & Metabolism (15)
- Nephrology (16)
- Vascular Surgery (17)
- Psychiatry (19)
- Obstetrics And Gynaecology (20)
- Genetics (22)
- Ophthalmology (23)
- Otolaryngology (24)
- Paediatrics (26)
- Infectious Disease (46)
- Laboratory Medicine (28)
- Physical Medicine & Rehabilitation (31)
- Diagnostic Radiology (33)
- Radiation Oncology (34)
- Urology (35)
- Medical Oncology (44)
- Respiratory Disease (47)
- Rheumatology (48)
- Clinical Immunology (62)
- Cardiology (60)
- Hematology (61)
- Nuclear Medicine (63)
- General Thoracic Surgery (64)
- Family Practice And Practice In General (00)
- Emergency Medicine
- Internal And Ocucpational Medicine (13)
- Infection Disease (46)
-
- Head And Neck
- Spine And Pelvis
- Chest And Abdomen
- Upper Extremities
- Skeletal Surveys
- Lower Extremities
- Gastrointestinal Tract
- Special Examinations
- Computed Tomography (CT)
- Genitourinary Tract
- Bone Mineral Density (BMD) Measurement
- Obstetrics And Gynaecology
- Miscellaneous Examinations
- Fluoroscopy - By Physician With Or Without Spot Films
-
- Laboratory Medicine
- Nerve Blocks For Acute Pain Management
- Injections And Infusions
- Dialysis
- Haematology
- Home And Self Care Services
- Ophthalmology
- Otolaryngology
- Electrocardiography (ECG)
- Cardiovascular
- Nerve Blocks - Interventional Pain Injections
- Non-Invasive Cardiography
- Neurology
- Gastroenterology
- Allergy
- Urology
- Critical Care
- Nerve Blocks - Peripheral / Other Injections
- Gynaecology
- Endocrinology And Metabolism
- Nephrology
- Psychiatry And Respiratory Disease
- Physical Medicine
- Dermatology
- Palliative Care
- Echocardiography
- Neurosurgery
- Sleep Studies
- Anaesthesia
-
- Special Visit Premiums
- Anaesthesiologists' Services
- Supportive Care/Monitoring By Surgical Assistant Of Anaesthesiologist
- Surgical Assistants' Services
- Assessments
- Hospital And Institutional Consultations And Assessments
- Other Premiums
- Temporary COVID-19 Service
- Emergency Department Sessional Fees
- Emergency Department By Emergency Department Physician
- General Information
- Special Visit Premiums - Long-Term Care Institution
-
- Fractures Of The Spine
- Anterior Spinal Decompression
- Posterior Spinal Decompression
- Posterior Spinal Arthrodesis Following Decompression Or Osteotomy
- Posterior Spinal Arthrodesis As Sole Procedure
- Anterior Spinal Arthrodesis With Instrumentation Without Decompression
- Procedures Involving Neural Elements
- Anterior Spinal Arthrodesis Following Decompression
- Meningocoele And Myelomeningocoele
- Deformities Of The Spine
- Revision Procedures For Spinal Surgery
- Procedures On Musculoskeletal Elements
- Tumours / Infections Of The Spine
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