G582 – Stress echocardiography - technical component
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
A stress echocardiography study includes the following required elements: 1. Initial baseline study of all components of cardiac structure and function including chambers, valves and septae and may include a Cardiac Doppler Study (with or without colour Doppler); 2. Stress images which may include various stages of stress and must include relevant peak or immediate post stress images relevant to the patient's clinical and diagnostic findings; and 3. A simultaneous comparison of all left ventricular wall segments and global function obtained from pre-stress and stress images.
When to Use
- Use G582 when performing the technical acquisition of a stress echocardiogram, whether induced by exercise, pharmacologic agents, or pacing.
- Select G582 instead of G570 or G571 when the study specifically requires a simultaneous comparison of pre-stress and peak/post-stress left ventricular wall segments.
Common Pitfalls
- Billing G582 in conjunction with G570, G571, G574, or G575 will result in an automatic rejection due to restricted code combinations.
- Failing to document the permanent recording of high frame rate images on a dynamic medium is a primary cause for audit recovery.
Billing Tips
- If the service is rendered in a hospital setting, ensure your billing software applies the 86.10% payment adjustment to the technical component fee.
Effective: April 1, 2026
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Diagnostic
Diagnostic and Therapeutic Procedures
The physician submitting a claim for the technical component is responsible for the complete quality assurance process for all elements of the technical component of the service, including data acquisition, reporting, and record keeping. The physician must be able to demonstrate the above upon request by the MOH.
The physician has the necessary training and experience to personally render the technical component of the service.
The required components of the study and any findings from the simultaneous comparison of pre-stress and stress images are documented in the echocardiogram report.
There is a permanent recording acquired with a high frame rate and includes the time from cessation of exercise on appropriate dynamic medium, either videotape or digitally, of the constituent images and measurements.
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