G480 – Venipuncture - infant
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Venipuncture is the procedure of drawing blood from a vein. G480 is specifically for this procedure when performed on an infant. According to the Schedule of Benefits (), an 'infant' is defined as a person from 29 days of age up to, but not including, 2 years of age. This procedure is listed as a service that can be delegated to a physician's employee under specific conditions outlined in and .
When to Use
- Use G480 when performing a venipuncture on an infant aged 29 days to 23 months, as opposed to G489 which is for patients 2 years of age and older.
- Bill G480 when the procedure is performed by a qualified employee under the delegation rules in GP62/GP63, provided the physician is on-site.
Common Pitfalls
- Billing G480 for a neonate (0-28 days) will result in a rejection; use G482 for newborns instead.
- Submitting G480 alongside a full physical examination (A007) is often flagged, as venipuncture is typically considered inclusive of the assessment unless performed as a distinct, separate service.
Billing Tips
- G480 is eligible for payment on the same day as counselling codes like K013 or K040, provided the venipuncture is medically necessary and distinct from the counselling session.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Procedure
Diagnostic and Therapeutic Procedures, Delegated Procedure
Patient must be an infant, defined as a person from 29 days of age up to, and less than, 2 years of age.
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