G096 – Chronic, slow continuous ultrafiltration
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Chronic, slow continuous ultrafiltration (SCUF) is a diagnostic and therapeutic procedure under the 'DIALYSIS' subcategory. It is the chronic management component of this therapy, distinct from the initial and acute phase covered by G090. As per the note on page , services covered by team benefits are included, but this does not cover the preliminary investigation of the case.
When to Use
- Use G096 for the ongoing, routine management of patients undergoing chronic slow continuous ultrafiltration once the initial stabilization phase covered by G090 is complete.
- Apply this code specifically for the therapeutic procedure sessions required for chronic fluid management in patients where acute intervention is no longer the primary billing focus.
Common Pitfalls
- Billing G096 during the acute phase of treatment, which is strictly reserved for G090, will result in rejection or audit recovery.
- Attempting to bill preliminary investigations or initial diagnostic assessments under G096 is prohibited, as these are considered separate services not included in the chronic procedure fee.
Billing Tips
- Ensure your billing records clearly distinguish between the acute phase (G090) and the chronic phase (G096) to prevent claim denials based on the phase-specific restrictions outlined in the Schedule of Benefits.
Effective: April 1, 2026
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Procedure
Diagnostic and Therapeutic Procedures
All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
Team benefits to include listed items. This does not include preliminary investigation of the case.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.