G585

PDF page 25 / GP11

Payment for Diagnostic and Therapeutic Services Rendered at a Hospital
  The technical component of a diagnostic and therapeutic service listed below and rendered in a
  hospital is payable at 86.10% of the listed fee in the column headed “T”.
  G104A, G111A, G121A, G127A, G140A, G143A, G146A, G149A, G152A, G153A, G167A,
  G174A,G181A, G209A, G284A, G308A, G310A, G311A, G315A, G414A, G440A, G441A, G442A,
  G443A,G448A, G451A, G455A, G466A, G471A, G519A, G540A, G541A, G542A, G544A, G554A,
  G570A,G574A, G582A, G585A, G647A, G648A, G651A, G652A, G654A, G655A, G682A, G683A,
  G684A,G685A, G686A, G687A, G688A, G689A, G694A, G695A, G815A, G850A, G851A, G852A,
  G853A,G854A, G855A, G856A, G857A, G858A, J301B, J304B, J324B, J327B

PDF page 437 / J23

Definition/Required elements of service:
An examination limited to a single component of the cardiac assessment.
          [Commentary:
          Examples where a focused study may apply are:
          1.Emergency assessment to guide immediate patient management.
      2.Follow up within 2 weeks of a complete study to re-evaluate a specific finding or question.]
   G574 - technical component .......................................................... 18.65
   G575 - professional component .....................................................         13.95
          Medical record requirements:
          G574 and G575 are only eligible for payment for a focused echocardiography study when:
          1.The component of the cardiac assessment and findings are documented; and
          2.There is a permanent recording on appropriate dynamic medium, either videotape or digitally,
            of the constituent images and measurements.
     Echocardiography contrast
   G585 - technical component, with use of contrast agent, to G570 or
          G582............................................................................. add 147.25
          Payment rules:
          1. G585 is only eligible for payment with a complete study or stress study in difficult-to-image
            patients where:
             a.two or more contiguous segments are not seen on a recent non-contrast echocardiogram
               images;
             b.the contrast agent is bubble-based with a diameter 5 microns or less, with resonance
               frequencies in the diagnostic ultrasound range and the contrast agent is able to cross the
               pulmonary circulation; and
             c.professional component G571 or G583 is eligible for payment for the same
               echocardiography study.
          2. G585 is only eligible for payment if the physician performing the service establishes he/she:
             a.has Level III (advanced) echocardiography training, with experience in administering and
               interpretation of contrast echocardiography; or
             b.has Level II (basic prerequisites for independent competence in echocardiography)
               training, plus additional training in contrast echocardiography to learn the appropriate
               techniques for administering contrast agents and interpreting contrast-enhanced
               echocardiograms.
             c.Started practice prior to January 1, 1990 and:
               i. was trained to applicable echocardiography standards at the time of starting practice;
               ii. has rendered and been paid for echocardiography services regularly since January 1,
                    1990;
               iii. has rendered and been paid for at least 1800 echocardiograms in total in the 36
                    months prior to September 1, 2011; and

PDF page 438 / J24

DIAGNOSTIC AND THERAPEUTIC PROCEDURES
ECHOCARDIOGRAPHY
                                                                             T        P
            iv. has additional training in contrast echocardiography to learn the appropriate
                techniques for administering contrast agents and interpreting contrast-enhanced
                echocardiograms.
     Note:
     Documentation of requirements 2a-c must be made available to the ministry on request.
     [Commentary:
     Additional training in contrast echocardiography can be obtained through courses, tutorials and
     preceptorships as examples.]
     Medical record requirements:
     G585 is not eligible for payment unless a permanent record of study images and loops is
     maintained on an appropriate dynamic medium, either videotape or digitally.

Master, record 2290. Record Layout PDF, page 1.

G58520260401999999990000147250000000000000000000000000000000000000000000000

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.