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G363
G363 – Cervical mucous penetration test
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Cervical mucous penetration test.
When to Use
- Use G363 when performing a post-coital test to evaluate sperm-cervical mucus interaction as part of an infertility investigation.
- Use this code for laboratory-based assessment of sperm penetration capability in cervical mucus samples collected during the periovulatory phase.
Common Pitfalls
- Do not bill G363 in conjunction with a general office visit (A007) if the visit was solely for the purpose of performing this diagnostic procedure.
- Avoid billing G363 for routine cervical cytology or general pelvic exams, as it is strictly limited to the specific functional penetration test.
Billing Tips
- Ensure the laboratory requisition or clinical note explicitly identifies the procedure as a cervical mucous penetration test to avoid confusion with general semen analysis codes.
Provider Fee$22.00
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Diagnostic
Code Classes
Diagnostic and Therapeutic Procedures
All insured services must be documented in appropriate records. The Act requires that the record 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.
Sex Restriction
Female
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