G010 – Urinalysis, routine - one or more parts without microscopy
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This service is identified as a laboratory test code and a simple office laboratory procedure. It is included in the monthly management fee for nursing home or home for the aged patients (W010). It is eligible for payment when rendered by the same physician on the same day as counselling services. This procedure may be delegated to a non-physician employee in the physician's office, provided specific requirements regarding physician presence, training, reporting, and medical record keeping are met.
When to Use
- Use G010 when performing a routine dipstick urinalysis in the office for diagnostic purposes, such as investigating suspected urinary tract infection symptoms.
- Claim G010 alongside counselling codes (e.g., K013, K033) when a urinalysis is medically necessary during the same encounter, as it is explicitly exempted from the 'no other services' rule for counselling.
Common Pitfalls
- Billing G010 for patients in a nursing home or home for the aged is a direct violation, as it is bundled into the W010 monthly management fee.
- Submitting G010 for routine monitoring of weight loss programs is ineligible and will trigger a rejection or audit recovery.
Billing Tips
- Ensure your EMR documentation clearly identifies the staff member who performed the delegated procedure to satisfy the specific record-keeping requirements for G010.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Laboratory
Diagnostic and Therapeutic Procedures, Delegated Procedure
If delegated, the medical record must be dated, identify the non-physician performing the service, and contain a brief note on the procedure performed by the non-physician.
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