What are the billing rules for G209A?

Billed per test, to a maximum of 50 per year (J5). When a period is stated, maximums are counted per patient in date order and services over the limit pay nil (GP7). Paid at 86.10% of the listed fee when rendered in a hospital (GP11).

What is G209A often billed with?

G197, the professional component (J5).

Why is G209A rejected?

VHC: G209 is a technical fee, and a claim with a technical fee must carry a service location indicator (SLI), such as OFF for a community office; add it and resubmit. ARF: OHIP describes this as 'Missing Physician Referring Number': the claim was sent without a referring physician number where OHIP expected one. EQ2: The specialty code on the claim isn't one the physician has registered and active with the Ministry on the service date; check the specialty set up in your billing software.

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Billing code

G209A — Skin Testing - Technical Component, To A Maximum Of 50 Per Year - Per Test

Q: What is OHIP billing code G209A?

Allergy skin testing, technical component, billed per test, up to 50 tests per year. Needs a service location indicator (SLI).

Allergy skin test, technical

Bill G209 per test for the technical component of allergy skin testing; the professional component of the same tests is G197.

Watch for: Include a service location indicator (such as OFF) on the claim, or OHIP rejects it; maximum 50 tests per year.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$0.80	$0.00	$0.00	$0.00	$0.00

Code: G209A
Description: Skin Testing - Technical Component, To A Maximum Of 50 Per Year - Per Test
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, 2026
Termination date: No end date

Explanation

Updated October 26, 2026

Allergy skin testing, technical component, billed per test, up to 50 tests per year. Needs a service location indicator (SLI).

What it covers

G209 is the technical component of skin testing, billed per test (J5). The professional component of the same tests is G197.

Technical components pay for performing the test, including premises, equipment, supplies and staff (J2).

Billing rules

Billed per test, to a maximum of 50 per year (J5).
When a period is stated, maximums are counted per patient in date order and services over the limit pay nil (GP7).
Paid at 86.10% of the listed fee when rendered in a hospital (GP11).
Not payable for a hospital in-patient, or a patient admitted to the same hospital within 24 hours for the same condition (GP11).
Payable only if you have the training and experience to render the technical component and keep documentation of how you monitor quality assurance (GP11).
FHO: a Schedule 2 core (in-basket) service (Agreement p.76).

Often billed with

G197, the professional component (J5).

Common rejections

VHC: G209 is a technical fee, and a claim with a technical fee must carry a service location indicator (SLI), such as OFF for a community office; add it and resubmit.
ARF: OHIP describes this as 'Missing Physician Referring Number': the claim was sent without a referring physician number where OHIP expected one.
EQ2: The specialty code on the claim isn't one the physician has registered and active with the Ministry on the service date; check the specialty set up in your billing software.
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.
VJ7: OHIP received the claim more than three months after the service date, so it was rejected as stale-dated (GP9).

Related codes: G197, G199, G206, G202

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Allergy — Skin testing, page J5

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