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G014

G014Rapid streptococcal test

OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

A rapid streptococcal test. Per the , this is categorized as a simple office laboratory procedure that can be delegated.

When to Use

  • Use G014 when performing a rapid antigen detection test for Group A Streptococcus in the office to confirm pharyngitis.
  • Use this code when a delegated staff member performs the swab and rapid test during an office visit for a patient presenting with sore throat symptoms.

Common Pitfalls

  • Billing G014 on the same day as a counselling code (e.g., K013, K033) will result in an automatic rejection as these are mutually exclusive.
  • Attempting to claim G014 for patients already covered under the W010 monthly management fee will lead to a rejection, as the test is considered included in the monthly comprehensive care fee.
  • Submitting G014 alongside a consultation code is prohibited under the GP58 billing rules.

Billing Tips

  • Ensure the medical record clearly identifies the staff member who performed the delegated test to satisfy the documentation requirements outlined in GP62.
  • If you are billing a visit fee (e.g., A007) on the same day, ensure the G014 is submitted as a separate line item, provided no counselling codes are claimed.
Provider Fee$6.80

Effective: April 1, 2026

Category

J. Diagnostic and Therapeutic Procedures

Subcategory

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Service Type

Laboratory

Code Classes

Diagnostic and Therapeutic Procedures, Delegated Procedure

If delegated, the same medical record requirements must be met as if the physician personally had rendered the service. The 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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