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Billing code

A922A — Medical Management Of Ectopic Pregnancy Initial Service

Ectopic pregnancy medical management

Bill A922 for the initial assessment and giving cytotoxic medication to end an ectopic pregnancy; drug cost isn't included.

Watch for: No consultation, assessment or counselling by you for the same patient that day is payable with it.

Code

A922A

Description

Medical Management Of Ectopic Pregnancy Initial Service

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Initial assessment and giving cytotoxic medication to end an ectopic pregnancy. Drug cost is not included.

What it covers

A922 is the initial service when a physician assesses the patient and gives cytotoxic medication(s) to terminate an ectopic pregnancy. The cost of the drug(s) is not included (K4).

Follow-up visits are A921 (K5).

Billing rules

• Consultations, assessments or counselling (and procedures that are generally accepted parts of the service) by you for the same patient the same day are not payable (K4).
• Follow-up visits are billed as A921, by you or another physician, limited to two per patient per pregnancy (K5).
• Must be provided in line with professional standards, such as those of the Society of Obstetricians and Gynaecologists of Canada (K4).

Often billed with

• A921 follow-up visit (K5).

Common rejections

• AD3: OHIP describes this as 'Not allowed with visit': a consultation, assessment or counselling by you the same day is not payable with A922 (K4).

Related codes: A921, A920, S784, P001

Source: Schedule of Benefits (July 1, 2026), Obstetrics, Prenatal Care, page K4.

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