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P014

P014P014

OHIP Plastic Surgery Code · Schedule of Benefits

When to Use

  • Use P014 to bill for the professional component of a diagnostic procedure when the technical component is performed by a facility or another provider.
  • Apply this code specifically when you are acting as the interpreting physician for a diagnostic test where the equipment and overhead are not your own.

Common Pitfalls

  • Billing P014 in conjunction with a global fee code for the same service will trigger an automatic rejection for duplicate billing.
  • Failure to include the appropriate diagnostic code or facility number can lead to claim rejection, as P014 requires specific site identification for the technical component.

Billing Tips

  • Ensure your claim includes the correct diagnostic code that corresponds to the specific test interpreted to avoid audit flags regarding medical necessity.
Provider Fee$0.00
Anaesthetist Fee$15.96
Non-Anaesthetist Fee$15.96

Effective: April 1, 2026

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