G650 – Professional component - 12 to 35 hours recording
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This fee is for the professional component of a Level 1 Continuous ECG Monitoring service (e.g., Holter) for a recording period of 12 to 35 hours. The professional component consists of the physician's interpretation and report on the data acquired. Level 1 Service Requirements: - Requires a device capable of recording three or more simultaneous channels. - Involves the acquisition of a continuous ambulatory electrocardiographic recording of all beats, using three or more skin electrodes. - The device must have the ability to analyze and manually review all parts of the recording, and to produce graphical and quantitative reports of relevant parameters and diagnostic quality tracings for visual review, including post-hoc review of any portion of the recording to enable diagnostic rhythm analysis. - Must include a patient diary and event marker capability to enable symptom-rhythm correlation. A minimum of 12 hours of monitoring is required. This service is typically billed with its corresponding technical components: G651 (technical recording) and G652 (technical scanning).
When to Use
- Use G650 when providing the formal physician interpretation and report for a standard 24-hour Holter monitor recording that meets Level 1 technical requirements.
- Use this code for the professional component when the recording duration is at least 12 hours but less than 36 hours, distinguishing it from the extended G654 for 36-72 hour recordings.
Common Pitfalls
- Billing G650 when the device used does not support three or more simultaneous channels, which violates the Level 1 technical requirement.
- Submitting G650 without the corresponding technical components G651 and G652, or billing multiple professional components for a single recording period.
- Failing to ensure the patient diary and event marker data are integrated into the final report, as these are mandatory for the professional component claim.
Billing Tips
- Ensure the report explicitly documents the symptom-rhythm correlation using the patient diary data to satisfy the specific documentation requirement for this code.
- If the recording duration exceeds 35 hours, you must switch to G654; billing G650 for extended recordings will result in audit discrepancies.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Diagnostic
Diagnostic and Therapeutic Procedures
Must include a patient diary and event marker capability to enable symptom-rhythm correlation.
Maximum one professional component, one technical recording component and one technical scanning component per patient, per recording.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.