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Billing code

G254A — Management Of Post Liver, Lung Or Pancreas Transplant Immunosuppression - In Lieu Of Non-emergency Hospital Visits In-patient Visits - Per Visit

Post-transplant immunosuppression care

Bill G254 for daily in-patient management of immunosuppression after a liver, lung or pancreas transplant, instead of hospital visits.

Watch for: Not payable with a hospital visit or assessment; once a day, in-patients only, up to 2 weeks after surgery.

Code

G254A

Description

Management Of Post Liver, Lung Or Pancreas Transplant Immunosuppression - In Lieu Of Non-emergency Hospital Visits In-patient Visits - Per Visit

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

Daily in-patient management of immunosuppression after a liver, lung or pancreas transplant, billed instead of hospital visits.

What it covers

G254 is management of post-transplant immunosuppression for liver, lung or pancreas recipients, billed per visit in place of non-emergency hospital in-patient visits (J45).

Billing rules

• Not payable in addition to a subsequent hospital visit or an assessment (J45).
• In-patients only; not payable for out-patients (J45).
• Maximum one per patient per day (J45).
• Only for up to 2 weeks after the transplant surgery (J45).
• Transplant claims go under the recipient's Ontario health number (SP8).

Common rejections

• AD3: OHIP describes this as 'Not allowed with visit': G254 is billed instead of, not with, a subsequent hospital visit or assessment (J45).

Related codes: C412, C413, C418, C415

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Gastroenterology, page J45.

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