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P051

P051Percutaneous fetal blood transfusion - into fetal hepatic vein

OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits

Percutaneous fetal blood transfusion into the fetal hepatic vein. As a procedure listed under Maternal-Fetal Procedures, it is payable in addition to J149 Ultrasonic Guidance and/or `Z552` Diagnostic Laparoscopy, where applicable.

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

Procedures listed under Maternal - Fetal Procedures are payable in addition to J149 Ultrasonic Guidance and/or Z552 Diagnostic Laparoscopy, where applicable.

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