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P052

P052Percutaneous 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

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

Assistant Fee (suffix B): 6 basic units.

Anaesthesia Fee (suffix C): 6 basic units.

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