G571 – Echocardiography - professional component
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
A Complete Study – 1 and 2 dimensions is an echocardiogram that must include as a minimum all of the following components: acquisition, recording and storage of ultrasound images relevant to the assessment of all components of cardiac structure and function including chambers, valves, septae, pericardium and proximal great vessels. Also included when rendered is a Cardiac Doppler Study (with or without colour Doppler). This code represents the professional component of the service.
When to Use
- Use G571 when performing a comprehensive transthoracic echocardiogram that includes 2D imaging and Doppler assessment of all cardiac structures.
- Use this code for the professional interpretation of a complete study when the technical component is performed by a facility or technician.
Common Pitfalls
- Billing G571 in conjunction with G574 or G575 is a common error, as these are reserved for limited or single-component studies.
- Attempting to bill G571 alongside G582 or G583 will result in an automatic rejection due to the mutual exclusivity of stress echocardiography procedures.
- Failure to document the specific clinical reason for an incomplete study will lead to audit recovery, even if the incomplete status was beyond the physician's control.
Billing Tips
- Ensure the report explicitly details the assessment of chambers, valves, septae, pericardium, and great vessels to satisfy the 'complete study' definition required for G571.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Diagnostic
Diagnostic and Therapeutic Procedures
The required components and findings of a complete study are documented.
There is a permanent recording on appropriate dynamic medium, either videotape or digitally, of the constituent images and measurements.
If applicable, a description of the circumstance beyond the physician's control leading to one or more components of the echocardiogram not being rendered.
Where one or more components of cardiac structure and function cannot be imaged due to circumstances beyond the physician's control the echocardiogram is payable as a complete echocardiogram.
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