Billing code
G278A — Therapeutic Plasma Exchange - More Than 5 Per Year - Each
Plasma exchange, beyond 5
Bill G278 for each therapeutic plasma exchange after the first 5 in a year.
Watch for: Bill G278 only after G277 has been paid 5 times for the patient that year.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $41.80 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- G278A
- Description
- Therapeutic Plasma Exchange - More Than 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 beyond the fifth treatment in a year, billed per treatment. The first 5 are G277.
What it covers
G278 is each therapeutic plasma exchange after the first 5 in a year; the first 5 (initial and repeat) are G277 (J9).
Billing rules
- Bill G278 only after G277 has been paid 5 times for the patient in the year (J9).
- Marked #: the fee doesn't include premises, equipment, supplies or staff, which are funded by the hospital or ICHSC (J1, GP13).
Related codes: G277, 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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