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G099
G099 – Percutaneous insertion of permanent jugular/femoral dialysis catheter
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Percutaneous insertion of permanent jugular/femoral dialysis catheter (including subcutaneous positioning).
When to Use
- Use G099 for the primary percutaneous insertion of a tunneled, cuffed permanent dialysis catheter via the internal jugular or femoral vein.
- Select G099 when the procedure involves subcutaneous tunneling for long-term access, distinguishing it from temporary non-tunneled catheter insertions.
Common Pitfalls
- Do not bill G099 in conjunction with G324 or G336 for the same procedure, as these codes are mutually exclusive for central venous access.
- Avoid billing G099 for simple bedside non-tunneled central line insertions, which are typically covered under different diagnostic or therapeutic procedure codes.
- Failure to document the specific anatomical site and the tunneled nature of the catheter can lead to audit rejections or downcoding.
Billing Tips
- Ensure you append the appropriate after-hours premium (E409, E410, E412, or E413) if the procedure is non-elective and performed outside standard hours to maximize the procedural fee.
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