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G429

G429Radioactive phosphorus examination - anterior approach

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

Radioactive phosphorus examination, anterior approach.

When to Use

  • Use G429 when performing a diagnostic radioactive phosphorus uptake test specifically targeting anterior ocular or superficial structures.
  • Select G429 over G430 when the examination is limited to the anterior approach rather than the posterior approach.

Common Pitfalls

  • Billing G429 in conjunction with G421 is often flagged for audit if the clinical documentation does not clearly delineate separate diagnostic intent for each procedure.
  • Failing to manually apply the 50% bilateral modifier when performing the examination on both eyes results in underpayment, as the system does not always auto-calculate this adjustment.

Billing Tips

  • Ensure the claim includes the appropriate diagnostic code for the underlying pathology to justify the radioactive tracer usage, as G429 is strictly a procedural fee.
Provider Fee$42.45

Effective: April 1, 2025

Category

J. Diagnostic and Therapeutic Procedures

Subcategory

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Service Type

Procedure

Code Classes

Diagnostic and Therapeutic Procedures

For bilateral procedures, add 50% of the listed benefit.

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