MSP Billing Codes

Specialty: Pediatrics

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Code	Description	Anes	Fee
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Chemotherapy
00578	High intensity cancer chemotherapy- patients 0-16yr	0	$243.26
00580	Limited intensity cancer chemotherapy-patients 0-16 years	0	$110.56
00579	Major intensity cancer chemotherapy-patients 0-16	0	$187.96
Diagnostic Procedures
00570	Lumbar puncture in a patient 12 years and younger	2	$82.92
00572	Pediatric colonoscopy-flex colonoscope 0-16 years	2	$364.86
50542	Pediatric direct coronary angiography / 7-16 years	4	$322.96
50541	Pediatric direct coronary angiography 0 -6 years	4	$430.62
00571	Pediatric esophagogastroduodenoscopy - 0-16 years	3	$199.00
50522	Pediatric myocardial biopsy for 0-16 yrs age,extra	0	$103.08
50539	Pediatric percutaneous transluminal 0-6 years	4	$816.85
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50540	Pediatric percutaneous transluminal 7-16 years	4	$612.64
50527	Pediatric retrograde left heart cath,extra 0-6yrs	4	$286.99
50528	Pediatric retrograde left heart cath,extra 7-16 yr	4	$215.22
50520	Pediatric right heart catheter patients 0-6 years	4	$358.82
50521	Pediatric right heart catheter patients 7-16 years	4	$269.10
50545	Pediatric therapeutic radiological patients 0-6yrs	3	$749.01
50546	Pediatric therapeutic radiological patients 7-16yr	3	$561.78
50530	Pediatric trans-septal left heart cath 0-6 years	4	$386.73
50531	Pediatric trans-septal left heart cath 7-16 years	4	$290.05
50550	Percutaneous cardiac stenting 0-18 years	7	$1,050.37
50551	Percutaneous cardiac stenting-0-18 yr addtl stents	0	$221.14
50555	Percutaneous transcatheter cardiac occluder 0-18yr	7	$1,050.37
Miscellaneous
00545	Pediatric case conference	0	$78.64
50571	Percutaneous transcatheter cardiac occluder 0-18yr	0	$34.21
50572	Percutaneous transcatheter cardiac occluder 0-18yr	0	$34.21
50573	Percutaneous transcatheter cardiac occluder 0-18yr	0	$105.51
Referred Cases
00590	Antenatal consultation-pediatrics	0	$141.41
00597	Antenatal follow-up visit-pediatrics	0	$37.28
00552	Complex subsequent office visit >12 mins	0	$103.20
00511	Consultation for complex condition - child	0	$452.52
00512	Consultation, limited, paediatrics	0	$103.39
00585	Diabetic ketoacidosis(dka)-1st day management	0	$461.81
00506	Directive care, paediatrics	0	$104.16
00505	Emergency visit - pediatrics	0	$127.35
00550	Extended consultation-exceeding 53 minutes	0	$331.08
00551	Extended consultation-exceeding 68 minutes	0	$393.05
00554	Extended subsequent office visit, exceeding 38 minutes	0	$230.94
00553	Extened subsequent office visit, exceeding 23 mins	0	$158.48
00513	Group counselling, 1st full hour - paediatrics	0	$125.40
00515	Group counselling, 2nd hour, 1/2 hour or major portion thereof - paediatrics	0	$62.69
00514	Prolonged counselling visit, paediatrics	0	$90.32
00509	Subsequent home visit, paediatrics	0	$153.94
00508	Subsequent hospital visit, paediatrics	0	$104.16
00507	Subsequent office visit, paediatrics	0	$91.04
50511	Telehealth complex consultation, paediatrics	0	$452.52
50515	Telehealth consult-pediatrics-extended > 53 mins	0	$331.08
50516	Telehealth consult-pediatrics-extended >68 mins	0	$393.05
50510	Telehealth consultation, paediatrics	0	$241.36
50506	Telehealth directive care - paediatrics	0	$104.16
50514	Telehealth prolonged visit for counselling paediat	0	$90.32
50512	Telehealth repeat or limited consult, paediatrics	0	$103.39
50508	Telehealth subsequent hospital visit - paediatrics	0	$104.16
50507	Telehealth subsequent office visit - paediatrics	0	$91.04
50517	Telehealth-complex office visit-pediatrics >12 min	0	$103.20
50518	Telehealth-complex office visit-pediatrics >23 min	0	$158.48
50519	Telehealth-complex office visit-pediatrics >38 min	0	$230.94
Special Procedures
00540	24 hour intra-esophageal ph study in children	0	$245.54
00532	Electrocardiogram and interpretation children (under 2 years)	0	$57.24
00533	Electrocardiogram - interpretation (under 2 years)	0	$13.43
00534	Electrocardiogram - technical fee (under 2 years)	0	$43.81
00528	Electrocardiogram and interpretation home (paed.)	0	$48.57
00527	Electrocardiogram and interpretation office (paed.)	0	$34.94
00529	Electrocardiogram professional (paed.)	0	$12.23
00523	Exchange transfusion - procedural fee	0	$458.60
00535	Graded exercise test, paed - professional fee	0	$62.91
00530	Graded exercise test, paed. - technical fee	0	$43.12
00531	Graded exercise test, paed. - total fee	0	$106.05
00525	Insertion of intra-arterial infusion line, infants	0	$95.69
00526	Insertion of intravenous infusion line, under 5	0	$57.24
00541	Pediatric urethral catheterization in child <5 years	0	$19.91
00539	Rectal suction biopsy in children	0	$106.34

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