G441 – Pure tone threshold audiometry and speech reception threshold and/or speech discrimination scores - technical component
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
G441 represents the technical component of a hearing test that combines pure tone threshold audiometry, with or without bone conduction, and speech reception threshold and/or speech discrimination scores. The professional component for this service is billed separately under G526. According to the general payment rules for technical components outlined on page , the physician submitting the claim must have the necessary training and experience, maintain documentation of quality assurance processes, and is responsible for all aspects of the technical service, including data acquisition, reporting, and record keeping.
When to Use
- Use G441 when performing the technical component of a comprehensive hearing assessment that includes both pure tone threshold audiometry and speech reception or discrimination testing.
- Use this code when you own or operate the audiometric equipment in your office and are responsible for the quality assurance of the technical data acquisition.
Common Pitfalls
- Billing G441 and G448 on the same day will result in the automatic rejection or reduction of G448 to zero.
- Failing to bill the professional component G526 alongside G441 results in an incomplete claim, as G441 only covers the technical equipment and data acquisition portion.
- Billing the full fee for G441 when the service is performed in a hospital setting, which triggers an automatic 13.9% reduction to 86.10% of the fee.
Billing Tips
- Ensure your office maintains a formal quality assurance log for your audiometric equipment to satisfy the GP11 documentation requirements in the event of an audit.
- Always pair G441 with G526 to ensure you are compensated for both the technical execution and the professional interpretation of the audiogram.
Effective: April 1, 2026
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Diagnostic
Diagnostic and Therapeutic Procedures
As per , the physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
The physician submitting a claim for the technical component is responsible for the complete quality assurance process for all elements of the technical component of the service, including data acquisition, reporting, and record keeping. The physician must be able to demonstrate the above upon request by the MOH.
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