G575 – Focused echocardiography - professional component
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
G575 is the professional component of a focused echocardiography study. A focused study is defined as an examination limited to a single component of the cardiac assessment. It is not to be claimed in conjunction with a pregnancy study. Examples where a focused study may be applicable include: 1. Emergency assessment to guide immediate patient management. 2. Follow-up within 2 weeks of a complete study to re-evaluate a specific finding or question.
When to Use
- Use G575 for an emergency bedside assessment of a single cardiac parameter, such as assessing pericardial effusion or left ventricular function, when a full G574 study is not clinically indicated.
- Use G575 for a targeted follow-up within 14 days of a G574 complete echocardiogram to re-evaluate a specific previously identified abnormality.
Common Pitfalls
- Claiming G575 for a comprehensive cardiac assessment that exceeds the scope of a single-component study, which should instead be billed as G574.
- Billing G575 on the same day as a pregnancy ultrasound, as this is explicitly prohibited by the Schedule of Benefits.
- Failing to maintain a permanent digital record of the specific images and measurements, which is a mandatory requirement for audit compliance.
Billing Tips
- Ensure the clinical note explicitly identifies the single component being assessed to justify why a full G574 study was not performed.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Diagnostic
Diagnostic and Therapeutic Procedures
The component of the cardiac assessment and findings must be documented.
There must be a permanent recording on an appropriate dynamic medium, either videotape or digitally, of the constituent images and measurements.
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