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G090

G090Venovenous slow continuous ultrafiltration - initial and acute

OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

This service covers venovenous slow continuous ultrafiltration for patients in an initial and acute state. Payment is limited to the first 3 services as stated on page . As a major invasive procedure (), it is eligible for after-hours procedure premiums (E409, E410).

When to Use

  • Use G090 specifically for the first three sessions of venovenous slow continuous ultrafiltration in the acute phase of renal replacement therapy.
  • Apply this code when initiating ultrafiltration for fluid overload in patients who have not yet reached the chronic maintenance phase of dialysis.

Common Pitfalls

  • Billing G090 beyond the third service limit, as the Schedule of Benefits strictly caps payment at the first three sessions.
  • Failing to append the correct after-hours procedure premium (E409 or E410) when the procedure commences outside of standard daytime hours, as this is a designated major invasive procedure.
  • Attempting to bill G090 for routine maintenance dialysis sessions, which are covered under different codes (e.g., G325 or G323).

Billing Tips

  • Ensure the procedure start time is clearly documented in the chart to justify the application of E409 or E410 premiums.
  • Verify that the patient's clinical status is documented as 'acute' to support the 'initial and acute' requirement for G090.
Provider Fee$331.05

Effective: April 1, 2026

Category

J. Diagnostic and Therapeutic Procedures

Subcategory

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Service Type

Procedure

Code Classes

Diagnostic and Therapeutic Procedures

Team benefits to include listed items. This does not include preliminary investigation of the case.

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