What is OHIP billing code G342?

G342 is "Implantation of hormone pellets", an OHIP Diagnostic & Therapeutic Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does G342 pay?

The current OHIP fee for G342 is $31.05, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill G342 to OHIP?

G342 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates G342 claims against the Schedule of Benefits rules before submission.

All codes

G342

G342 – Implantation of hormone pellets

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

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Implantation of hormone pellets. This service includes all common elements of insured services as outlined in the Schedule of Benefits (, ).

When to Use

Use G342 when performing the surgical implantation of hormone pellets for medically necessary endocrine conditions.
Use this code for the procedure itself, distinct from the office visit fee (A007) if a separate, identifiable assessment is performed.

Common Pitfalls

Do not attempt to bill after-hours procedure premiums E409 or E410 with G342, as it is not classified as a Major Invasive Procedure.
Avoid billing G342 for cosmetic hormone treatments, as OHIP only covers services that are medically necessary and not excluded under the General Preamble.

Billing Tips

Bill an office visit code (A007) in addition to G342 only if a full assessment is performed and documented separately from the procedure itself.

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Provider Fee$31.05

Specialist Fee$0.00

Surgical Assistant Fee$0.00

Anaesthetist Fee$0.00

Non-Anaesthetist Fee$0.00

Effective: April 1, 2025

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