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G525 – Pure tone threshold audiometry - professional component

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

Represents the professional component of a pure tone threshold audiometry test, which may include bone conduction testing. As defined on page , the professional component involves the physician's interpretation of the test results and the preparation of a report. This service is intended to be billed in conjunction with G440, which represents the technical component of the test. As per , this diagnostic service is insured when referred by a physician, or when referred by a Nurse Practitioner or Oral and Maxillofacial Surgeon under specific settings. This service includes all common elements of insured services as described on pages and .
Referral requiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon
As per , the medical record must establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
A written report of the interpretation and findings is required as part of the professional component of a diagnostic service.

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