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G212 – Hyposensitisation - when sole reason for visit

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

This service is for a hyposensitization (allergy shot) visit when it is the sole reason for the encounter. The fee for G212 includes the first injection. Per the note on , if a patient requires a brief assessment of their allergic condition as well as the allergy injection, the specific elements of the service include those of an assessment (see General Preamble ). If a patient presents for an allergy injection and also has an acute infectious condition or other unrelated condition requiring a separate office visit, the physician should claim the appropriate assessment fee plus the injection fee (G202) instead of G212.
In accordance with , all insured services must be documented in the medical record to establish that the service was provided, is the service for which the account is submitted, and was medically necessary.

If a patient presents for an allergy injection and has an acute infectious condition, albeit of the respiratory system, or some other unrelated condition which would have otherwise required a separate office visit, the physician is entitled to claim the appropriate assessment fee as well as the injection fee.

If a patient requires a brief assessment of his allergic condition as well as the allergy injection, the physician should claim the injection and the basic fee, in which case the specific elements of the service include those of an assessment (see General Preamble ).

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