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P051
P051 – Percutaneous fetal blood transfusion - into fetal hepatic vein
OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits
When to Use
- Use P051 specifically for percutaneous fetal blood transfusion directly into the fetal hepatic vein when managing severe fetal anemia.
- Use this code when performing the transfusion as a distinct surgical procedure, ensuring it is clearly differentiated from other fetal interventions like P050 (intraperitoneal transfusion).
Common Pitfalls
- Failing to bill J149 for the required ultrasonic guidance, which is a separate, payable service that must be submitted alongside P051.
- Omitting the Z552 add-on code, which is specifically designated for maternal-fetal procedures and is often overlooked in the billing sequence.
Billing Tips
- Always append the appropriate non-elective surgical premium (E409A or E410A) if the procedure is performed after hours, as P051 is a surgical procedure eligible for these increases.
- Ensure the medical record explicitly documents the hepatic vein approach to support the use of P051 over other fetal transfusion codes.
Provider Fee$348.40
Surgical Assistant Fee$100.08
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
Effective: April 1, 2025
Category
K. Obstetrics
Subcategory
OBSTETRICS
Service Type
Surgical
Code Classes
Obstetrics, Surgical Assistants' Services, Anaesthesiologists' Services
Sex Restriction
Female
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