All codes
G030
G030 – Circulating anticoagulant
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This service is a laboratory test for circulating anticoagulants, for example, lupus anticoagulant, as listed in the Diagnostic and Therapeutic Procedures section of the Schedule.
When to Use
- Use G030 when ordering a specific laboratory investigation for lupus anticoagulant or other circulating inhibitors in patients with unexplained prolonged clotting times.
- Bill this code when the laboratory requisition explicitly requests the circulating anticoagulant screen as a distinct diagnostic procedure rather than as part of a routine coagulation panel.
Common Pitfalls
- Do not bill G030 in addition to a general coagulation profile if the lab considers the test part of a bundled diagnostic service, as this leads to automatic rejection for duplicate billing.
- Avoid billing G030 when the test is performed as part of a hospital-based inpatient diagnostic workup, as the fee is typically included in the global hospital funding.
Billing Tips
- Ensure the clinical indication for the anticoagulant screen is clearly linked to the diagnostic code in your EMR to satisfy Ministry audit requirements for laboratory service claims.
Provider Fee$5.15
Effective: April 1, 2026
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Laboratory
Code Classes
Diagnostic and Therapeutic Procedures
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