All codes
B551
B551 – B551
OHIP Paediatrics Code · Schedule of Benefits
When to Use
- B551 is appropriate when a physician provides a consultation for a patient with a suspected or confirmed diagnosis of a sexually transmitted infection (STI) and the patient is not presenting with acute symptoms requiring immediate management.
- Use B551 for follow-up consultations to discuss STI test results, provide counselling on prevention, and manage treatment plans for patients diagnosed with STIs, provided no new acute symptoms have arisen.
- This code is suitable for consultations where the primary focus is on STI screening for asymptomatic individuals at high risk, such as those with multiple partners or a history of previous STIs.
Common Pitfalls
- Billing B551 for a patient presenting with acute symptoms of an STI (e.g., discharge, pain, lesions) is incorrect; A007 or other appropriate assessment codes should be used instead.
- Submitting B551 when the patient requires a specific procedure related to STI management, such as a biopsy or complex wound care, is inappropriate; the procedure code should be billed.
- Using B551 for routine follow-up of chronic conditions unrelated to STIs will lead to rejections; ensure the consultation's primary purpose is STI-related.
Billing Tips
- Ensure the patient's chart clearly documents the reason for the consultation as STI-related, including screening, diagnosis discussion, or management of a confirmed STI.
- If a patient presents with both STI concerns and unrelated acute issues, bill the most complex service separately; B551 may be appropriate for the STI component if it meets the criteria, alongside another assessment code for the acute issue.
Provider Fee$0.00
Effective: February 1, 2008
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