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Billing code

G277A — Therapeutic Plasma Exchange - Initial And Repeat, To A Maximum Of 5 Per Year - Each

Plasma exchange, first 5

Bill G277 for each therapeutic plasma exchange treatment, initial or repeat, up to 5 per year.

Watch for: From the 6th treatment in the year, bill G278 instead, or the claim is rejected.

Code

G277A

Description

Therapeutic Plasma Exchange - Initial And Repeat, To A Maximum Of 5 Per Year - Each

FHO+ basket

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

Effective date

Apr 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Therapeutic plasma exchange, initial and repeat treatments, up to 5 per year. Treatments beyond 5 in the year are G278.

What it covers

G277 is a therapeutic plasma exchange treatment, initial and repeat, each, to a maximum of 5 per year. Further treatments that year are G278 (J9).

Manual plasmapheresis is G272 (IC), and LDL apheresis has its own codes G287/G290 (J9).

Billing rules

• Maximum 5 G277 per year; the 6th and later treatments are G278 (J9).
• Listed among the major invasive procedures that take the after-hours premium: add E409 (+50%) or E410 (+75%) when non-elective (GP103–GP104).
• Marked #: the fee doesn't include premises, equipment, supplies or staff, which are funded by the hospital or ICHSC (J1, GP13).

Often billed with

• E409 or E410 after-hours premium when non-elective (GP103–GP104).

Common rejections

• AC1: The maximum of 5 G277 per year was reached; resubmit further treatments as G278 (J9).

Related codes: G278, G287, G290, G276

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Cardiovascular (Blood transfusions – Therapeutic plasma exchange), page J9.

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