G854 – Fluorescein angioscopy - technical component
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
The technical component for fluorescein angioscopy. Note: For G425, G853, G444, G854 - for bilateral procedures, add 50% of the listed benefit. Payment for Diagnostic and Therapeutic Services Rendered at a Hospital The technical component of this service, when rendered in a hospital, is payable at 94.68% of the listed fee.
When to Use
- Use G854 when you are billing specifically for the technical component of a fluorescein angioscopy procedure performed in an office setting.
- Use this code in conjunction with the professional component code G853 when you are responsible for both the technical acquisition and the interpretation of the study.
Common Pitfalls
- Billing G854 at 100% for a hospital-based procedure is a common audit trigger; it must be adjusted to 94.68% of the fee as per the hospital payment rule.
- Failing to apply the 50% bilateral premium when performing the technical component on both eyes is a frequent missed revenue opportunity.
Billing Tips
- Ensure your records clearly distinguish between the technical component (G854) and the professional interpretation (G853) to satisfy MOH quality assurance documentation requirements.
Effective: April 1, 2026
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Procedure
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; and
the physician maintains documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.
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