G075 – Test dose (bleomycin and l-asparatiginase)
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This service is for a test dose of bleomycin and l-asparatiginase. It is limited to once per patient per drug.
When to Use
- Use G075 when administering the initial test dose of bleomycin to assess for hypersensitivity reactions prior to the full therapeutic regimen.
- Use G075 when administering the initial test dose of L-asparaginase to monitor for anaphylactic response before proceeding with the full treatment cycle.
Common Pitfalls
- Billing G075 more than once per patient for the same drug will result in automatic rejection, as the code is strictly limited to a lifetime maximum of one per drug.
- Attempting to bill G075 in conjunction with G382 or G390 for the same encounter may trigger audit flags if the documentation does not clearly distinguish the test dose procedure from the subsequent chemotherapy administration.
Billing Tips
- Ensure the claim includes the specific drug name in the diagnostic or service text field to support the 'per drug' limit verification by the Ministry.
- If the test dose is performed in an ICU or CCU setting, append the C101 premium to maximize the claim value for the encounter.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Procedure
Diagnostic and Therapeutic Procedures
All insured services must be documented in appropriate records. The record must establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
The fee is payable only to the physician who rendered the service personally, or by the physician whose delegate rendered the service where delegation is authorized in accordance with the Schedule.
Where more than one physician renders different components of a listed service, only one fee is payable for that service, and the fee is payable only where the Schedule provides that different physicians may perform different components of the service.
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