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G460
G460 – Unilateral ocular photodynamic therapy
OHIP Diagnostic and Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Ocular photodynamic therapy (PDT) is, subject to the limitations set out below, an insured service when rendered by an ophthalmologist. PDT must include completion and submission of patient registration and drug requisition forms, establishment of intravenous access, supervision of drug infusion and personal application of non-thermal diode laser for activation of verteporfin.
Completion and submission of patient registration and drug requisition forms.
The area of classic subfoveal CNV being equal to or greater than 50% of the total CNV lesion must be determined by fluorescein angiography and documented by retinal photographs retained on the patient's permanent medical record.
For each repeat therapy, recurrent or persistent CNV leakage must be detected by fluorescein angiography and documented by retinal photographs retained on the patient's permanent medical record.
If retinal photographs are not made prior to the procedure and retained on the patient's permanent medical record, the procedure is not eligible for payment.
1. G379 rendered to same patient in conjunction with G460 or G461 is an insured service payable at nil.
2. G460 rendered to same patient same day as G461 is an insured service payable at nil.
3. Assessments and angiography are payable in addition to PDT. Retinal photography is insured as a specific element of the assessment and is not payable separately.
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