G022 – Testosterone
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Testosterone test performed as a laboratory service in the physician's own office for their own patient. According to the Schedule, tests listed under 'Reproductive medicine' are only payable to physicians where point of care testing is necessary for their practice. This service is not insured when rendered to support in-vitro fertilization services or artificial insemination services.
When to Use
- Use G022 for immediate point-of-care testosterone monitoring in a clinical practice where rapid results are essential for acute management, such as monitoring hypogonadal patients requiring urgent dose adjustments.
- Use this code when the test is performed in-office as a necessary diagnostic adjunct to a physical examination, provided the physician maintains the required equipment and documentation on-site.
Common Pitfalls
- Billing G022 for tests sent to an external laboratory or a hospital-based lab; this code is strictly for in-office point-of-care testing.
- Claiming G022 for patients undergoing fertility treatments, as the Schedule explicitly excludes this service when rendered to support in-vitro fertilization or artificial insemination.
- Failing to document the specific test result, the physician's interpretation, and the resulting treatment plan in the patient's permanent record, which is a mandatory audit requirement.
Billing Tips
- Ensure your practice profile justifies the necessity of point-of-care reproductive testing; if audited, you must demonstrate that in-office testing is a standard, necessary component of your clinical workflow.
- Do not bundle G022 with routine office visits unless the test was medically necessary and performed during that specific encounter; ensure the clinical note explicitly links the test result to the decision-making process.
Effective: April 1, 2026
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Laboratory
Diagnostic and Therapeutic Procedures
The result of the test(s), the physician's interpretation of the results of the test(s) and the treatment decision based on the test results are documented in the patient's permanent medical record.
Tests listed under “Miscellaneous Tests” may be claimed by any physician. Tests listed under 'Reproductive medicine' and 'Point of care drug testing' are only payable to those physicians where point of care testing is necessary for their practice.
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