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P052
P052 – Percutaneous fetal blood sample
OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits
A surgical procedure involving the percutaneous collection of a fetal blood sample, taken from either the umbilical cord or the fetal hepatic vein. This service falls under the category of Maternal-Fetal Procedures. Payment for a second surgical assistant is permitted for this procedure without prior authorization from a medical consultant ().
When to Use
- Use P052 for the percutaneous collection of fetal blood from the umbilical cord (cordocentesis) for diagnostic purposes.
- Use P052 when obtaining a fetal blood sample via the fetal hepatic vein under direct visualization.
Common Pitfalls
- Failing to bill J149 on the same claim; P052 is almost always performed under ultrasound guidance, and J149 is specifically eligible for additional payment.
- Neglecting to apply the appropriate after-hours premiums (E409 or E410) for non-elective procedures, which can significantly increase the total reimbursement.
Billing Tips
- Ensure the surgical assistant and anaesthesiologist bill their respective services using the appropriate suffixes (B and C) to capture the 6 basic units associated with this procedure.
- If the procedure is performed on an emergency basis, verify that the documentation supports the non-elective nature of the case to justify the application of E409 or E410.
Provider Fee$199.10
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
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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