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G430

G430Radioactive phosphorus examination - posterior approach

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

Radioactive phosphorus examination using a posterior approach. A note on page applies to G429, G430, and G421, stating that for bilateral procedures, 50% of the listed benefit should be added.

When to Use

  • Use G430 specifically for radioactive phosphorus uptake testing when the posterior approach is utilized for ocular tumor localization.
  • Select G430 instead of G429 when the clinical assessment requires the posterior approach rather than the anterior approach for diagnostic accuracy.

Common Pitfalls

  • Failing to apply the 50% bilateral premium when the procedure is performed on both eyes, as the system does not automatically calculate this adjustment.
  • Billing G430 in conjunction with G421 or G429 for the same eye during a single session, which will trigger a rejection for duplicate or overlapping services.

Billing Tips

  • Ensure the bilateral modifier is explicitly appended to the claim when performing the procedure on both eyes to capture the additional 50% benefit allowed under section J89.
Provider Fee$86.05

Effective: April 1, 2025

Category

J. Diagnostic and Therapeutic Procedures

Subcategory

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Service Type

Procedure

Code Classes

Diagnostic and Therapeutic Procedures

G429, G430, G421 - for bilateral procedures, add 50% of the listed benefit.

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