E870

PDF page 460 / J46

+ G362 Insertion of laminaria tent .......................................................                  6.25
  E870    - when laminaria tent supplied by the physician........... add                                    8.35
  G334 Telephone supervisory fee for ovulation induction with human
          menopausal gonadotropins or gonadotropin-releasing
          hormone (not eligible for payment same day as visit), to a
          maximum of 10 per cycle ........................................per call                          4.05
  G399 Transvaginal sonohysterography, introduction of catheter, with
          or without injection of contrast media .................................                        44.15
        Note:
        G399 is only eligible for payment when transvaginal sonohysterography professional and
        technical services (J165 or J476) are rendered (either by the same or another physician).
        [Commentary:
        1.See Diagnostic Ultrasound section page G6.
        2.G334 is not insured when rendered to support in-vitro fertilization services or artificial
          insemination services. See Regulation 552 section 24(1) paragraph 23 and 29 under the
          Act.]
    Cervical cancer screening
+ G365 Collection of cervical cancer screening specimen(s)..............                                  12.00
  E430    - when cervical cancer screening specimen(s) are collected
            outside of hospital or ICHSC, to G365....................... add                               11.95

Master, record 1559. Record Layout PDF, page 1.

E87020250401999999990000008350000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.