G383 – Intralesional infiltration - extensive
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Extensive intralesional infiltration of one or more lesions. As this service is designated for Independent Consideration (IC), claims must be submitted with a supporting letter explaining the fee claimed, including an appropriate report and a comparison of the scope and difficulty to other non-IC procedures as detailed in the Schedule on page .
When to Use
- Use G383 for extensive intralesional injections, such as multiple keloids or large hypertrophic scars, that significantly exceed the complexity of a single lesion injection covered under G375.
- Use this code when the clinical volume of lesions treated requires a time-intensive, multi-site infiltration that cannot be adequately compensated by the fixed fee of G377.
Common Pitfalls
- Submitting G383 without an attached manual report detailing the number of lesions and total volume of medication injected will result in an automatic rejection or reduction to a lower-valued code.
- Attempting to bill G383 for acne treatment is a direct violation of the Schedule of Benefits and will trigger an audit recovery.
- Failing to explicitly compare the procedure's complexity to a non-IC code like G375 in your supporting letter often leads to the Ministry assigning a default, lower payment value.
Billing Tips
- To maximize the likelihood of your requested IC fee being approved, explicitly state the time spent and the specific anatomical distribution of the lesions in your supporting documentation.
- Always reference the specific number of lesions treated and the total dosage of the therapeutic agent used to justify the 'extensive' designation required for G383.
No fee information available.
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Procedure
Diagnostic and Therapeutic Procedures
A supporting letter explaining the amount of the fee claimed.
An appropriate operative or consultation report.
A comparison of the scope and difficulty of the procedure in relation to non-IC procedures in the Schedule.
extensive (see General Preamble )
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