G317 – Non-programmable including electrocardiography, interrogation and analysis - professional component
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This service represents the professional component for the interrogation and analysis of a non-programmable automatic implantable defibrillator. The service includes the performance and interpretation of an electrocardiogram (ECG) as part of the analysis.
When to Use
- Use G317 for the professional component of a routine interrogation of a non-programmable automatic implantable defibrillator when an ECG is performed and interpreted as part of the analysis.
- Select G317 when the device is non-programmable, as opposed to G321 which is strictly reserved for the interrogation and analysis of programmable devices.
Common Pitfalls
- Billing G317 in conjunction with E409 or E410 will result in a rejection, as this procedure is not classified as a major invasive procedure eligible for after-hours premiums.
- Submitting G317 for a programmable device is a common audit trigger; ensure the device type matches the code definition to avoid recovery of funds.
Billing Tips
- If the patient requires an urgent, non-elective assessment outside of standard office hours, claim the appropriate Special Visit Premium (Table I-VI) in addition to G317 to capture the location and time-based uplift.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Diagnostic
Diagnostic and Therapeutic Procedures
All insured services must be documented in the patient's medical record, establishing that the service was provided, medically necessary, and matches the service claimed. (:)
This is the professional component for a non-programmable device. See G321 for programmable devices.
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