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Billing code

G010A — Urinalysis

Urinalysis without microscopy

Bill G010 for one or more parts of a routine office urinalysis without microscopy, done in your own office for your own patient.

Watch for: The chart must record the result, your interpretation and treatment decision, or it isn't payable.

Code

G010A

Description

Urinalysis

FHO+ basket

Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).

Effective date

Apr 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Office urinalysis without microscopy: one or more parts of a routine urinalysis, done in your own office for your own patient.

What it covers

G010 is one or more parts of a routine urinalysis without microscopy: SG, pH, protein, sugar, haemoglobin, ketones, urobilinogen or bilirubin (J68). When microscopic examination of a centrifuged specimen is included, bill G009.

It is a Laboratory Medicine in Physician's Office service, listed under Miscellaneous Tests (J65, J68).

Billing rules

• Insured only when you, or a physician substituting for you, do the test in your own office for your own patient (J65).
• The chart must record the result, your interpretation and the treatment decision based on it, or the test isn't payable (J65).
• Not marked (+) in its listing, so the G700 sole-visit premium does not apply (J68).
• May be delegated to a trained employee in your office, even when you are not on site, for your own patient; the chart must name who did it (GP62–GP63).
• For a nursing home or home for the aged patient under W010 monthly management, office lab tests by any physician that month are included in W010 (GP51).
• Not insured for monitoring adverse effects of a calorie-restricted weight-loss program (J68).
• Payable on the same day as a counselling service by the same physician (GP58).
• FHO: a Schedule 2 core (in-basket) service (Agreement p.76).

Often billed with

• An assessment such as A001 or A007; office lab tests are payable in addition to a consultation or assessment (J3).
• Counselling such as K013 the same day (GP58).

Common rejections

• VJ7: OHIP received the claim more than three months after the service date, so it was rejected as stale-dated (GP9).
• EH2: The health card version code on the claim doesn't match OHIP's record, often because the patient has a newer card; get the current version code and resubmit.
• EH4: OHIP's record shows the patient's coverage ended before the service date; confirm the health number and service date, then the patient's coverage.
• VH8: The date of birth on the claim doesn't match OHIP's record for that health number; correct it and resubmit.
• R02: OHIP describes this as 'Invalid HSN': the health number on the claim failed OHIP's check; compare it with the patient's card.

Related codes: G009, G002, G005, G014, G481

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Laboratory Medicine in Physician's Office — Miscellaneous Tests, page J68 (definition J65)

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