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G270
G270 – Intraosseous infusion
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
G270 is the fee code for an intraosseous infusion, which is a procedure for establishing vascular access via the bone marrow. This service is listed under the Cardiovascular subsection of Diagnostic and Therapeutic Procedures on page of the Schedule.
When to Use
- Use G270 when establishing emergency vascular access in a patient where peripheral intravenous access is impossible or delayed during resuscitation.
- Bill G270 for the insertion of an intraosseous needle in a pediatric or adult trauma patient requiring immediate fluid or medication administration.
Common Pitfalls
- Do not bill G270 in conjunction with G268 or G269, as these codes represent different vascular access procedures and are considered mutually exclusive for the same site.
- Avoid billing G270 if the procedure is performed as part of a comprehensive resuscitation package already covered by a global fee or if the access attempt was unsuccessful.
Billing Tips
- Ensure the procedure is clearly documented in the clinical notes to support the necessity of intraosseous access over standard intravenous access.
- G270 is eligible for applicable Special Visit Premiums (Tables I-X) if the criteria for an emergency or urgent visit are met.
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