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E582
E582 – Penicillin minor determinant mixture testing
OHIP Surgical Assists Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
A premium to be added to G196 when testing with penicillin minor determinant mixture is performed outside a hospital setting.
When to Use
- Use E582 when performing a penicillin allergy assessment in an office setting that requires the specific use of the minor determinant mixture alongside the primary G196 skin test.
- Apply this premium when the diagnostic protocol necessitates the use of both major and minor determinants to achieve a comprehensive penicillin hypersensitivity evaluation.
Common Pitfalls
- Billing E582 without an associated G196 claim will result in an automatic rejection as it is strictly an add-on premium.
- Exceeding the 3-service annual limit for the parent code G196 will cause both the G196 and the E582 premium to be rejected for that patient.
Billing Tips
- Ensure the clinical note explicitly documents the use of the minor determinant mixture to justify the premium in the event of a post-payment audit.
Provider Fee$32.20
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Premium
Code Classes
Other Premiums (including After Hours Procedure Premiums)
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