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P054
P054 – Selective fetal reduction by intracardiac potassium chloride injection
OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits
A fetal management procedure for the selective reduction of one or more fetuses via an intracardiac injection of potassium chloride. This is a surgical procedure with assigned basic units for both surgical assistant and anaesthesiologist services.
When to Use
- Use P054 for the selective reduction of a fetus in a multifetal pregnancy via direct intracardiac potassium chloride injection.
- Use this code when the procedure is performed under ultrasonic guidance, which allows for the concurrent billing of J149.
Common Pitfalls
- Do not bill P054 concurrently with J138 or J161, as these are explicitly excluded by the billing rules for the associated ultrasonic guidance.
- Failure to document the specific fetal reduction technique (intracardiac potassium chloride) can lead to audit scrutiny regarding the appropriateness of the P054 fee versus other obstetrical procedure codes.
Billing Tips
- Always include Z552 on the claim if applicable to ensure all components of the fetal management procedure are captured.
- Ensure the ultrasonic guidance (J149) is billed on the same claim as P054, as it is a distinct, payable professional component when performed by the same physician.
Provider Fee$248.85
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
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