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G856

G856Tonography technical component

OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

Tonography (to include tonometry) with or without water - technical component. As per , the technical component of a diagnostic procedure is only eligible for payment where: 1. the physician has the necessary training and experience to personally render the technical component of the service; and 2. the physician maintains documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.

When to Use

  • Use G856 when you perform the technical component of tonography in your office setting, distinct from the professional interpretation component.
  • Select G856 when the procedure involves tonometry with or without water provocation, provided you maintain the required quality assurance documentation.

Common Pitfalls

  • Billing G856 in a hospital setting without using the G856A suffix, which results in an automatic payment adjustment error.
  • Claiming G856 alongside G433 for the same patient encounter without clearly distinguishing the technical component from the professional consultation or assessment.

Billing Tips

  • Ensure your office maintains a written quality assurance log for the tonography equipment to satisfy the specific documentation requirements outlined in GP11.
Provider Fee$10.50

Effective: April 1, 2026

Category

J. Diagnostic and Therapeutic Procedures

Subcategory

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Service Type

Diagnostic

Code Classes

Diagnostic and Therapeutic Procedures

Referral RequiredFrom: Physician, NursePractitioner, OralMaxillofacialSurgeon

The physician must maintain documentation that describes the process by which the physician monitors quality assurance in accordance with professional standards.

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