All codes
B552
B552 – B552
OHIP Paediatrics Code · Schedule of Benefits
When to Use
- Use B552 when a patient requires a consultation for a specific, isolated problem that does not necessitate a full assessment or management plan, such as a brief discussion about a new medication side effect.
- B552 is appropriate for a patient presenting with a single, uncomplicated symptom that can be addressed with advice or a simple intervention, distinct from a more complex diagnostic workup or ongoing management.
Common Pitfalls
- Billing B552 for a problem that would typically warrant a more comprehensive assessment code (e.g., A007) can lead to claim rejections or audits.
- Using B552 when the patient's condition requires ongoing management or follow-up, which would be better captured by a different assessment or management code.
Billing Tips
- Ensure the patient's condition is truly isolated and does not overlap with other active medical issues to justify the limited scope of B552.
- This code is intended for brief, focused encounters; avoid using it for situations that require detailed history taking, physical examination, or complex decision-making.
Provider Fee$0.00
Effective: February 1, 2008
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