What is OHIP billing code P059?

P059 is "In-utero placental vessel ablation by YAG laser", an OHIP Plastic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does P059 pay?

The current OHIP fee for P059 is $464.45, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill P059 to OHIP?

P059 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates P059 claims against the Schedule of Benefits rules before submission.

What codes are related to P059?

Codes related to P059 in the Schedule of Benefits include J149, Z552.

All codes

P059

P059 – In-utero placental vessel ablation by YAG laser

OHIP Plastic Surgery Code — OBSTETRICS · Schedule of Benefits

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In-utero placental vessel ablation by YAG laser is a surgical procedure listed under Maternal - Fetal Procedures. The fee for the surgeon (suffix A) is a flat rate. The fees for the surgical assistant (suffix B) and anaesthesiologist (suffix C) are calculated based on a combination of base units and time units. As per the note on page , this procedure is payable in addition to J149 (Ultrasonic Guidance) and/or `Z552` (Diagnostic Laparoscopy) where applicable.

When to Use

Use P059 for the surgical ablation of placental vessels using YAG laser in cases of twin-to-twin transfusion syndrome (TTTS).
Use this code when performing fetoscopic laser photocoagulation of communicating placental vessels to treat selective intrauterine growth restriction (sIUGR) or twin anemia-polycythemia sequence (TAPS).

Common Pitfalls

Failing to bill J149 for ultrasonic guidance on the same claim, as this is an explicit add-on permitted by the Schedule of Benefits.
Incorrectly assuming a second surgical assistant requires prior authorization; P059 explicitly allows for a second assistant without needing medical consultant approval.

Billing Tips

Ensure the claim includes the appropriate suffix (A for surgeon, B for assistant, C for anaesthesiologist) to trigger the correct fee calculation for the respective provider roles.
Always append the relevant after-hours premium (E409/E410 for surgeon, E400B/E401B for assistant, or E400C/E401C for anaesthesia) if the procedure commences outside of standard daytime hours to maximize the procedural fee.

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Provider Fee$464.45

Surgical Assistant Fee$100.08

Anaesthetist Fee$123.92

Non-Anaesthetist Fee$123.92

Effective: April 1, 2025

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