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G376
G376 – Intravenous injection or infusion - Newborn or infant
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use G376 for the initial insertion of an intravenous line or the initiation of an infusion in a patient under two years of age.
- Use G376 when administering cryoprecipitate infusion to a newborn or infant, as explicitly permitted by the billing notes.
Common Pitfalls
- Do not bill G376 for subsequent injections into an already established IV line; use G381 for those services instead.
- Claims for G376 will be rejected if submitted on the same day as an X-ray, as the fee is considered inclusive of diagnostic imaging costs.
- Avoid billing G376 for routine maintenance or flushing of an existing IV line, as this does not meet the criteria for an intravenous injection or infusion procedure.
Billing Tips
- If performing the procedure after hours, ensure you append the appropriate premium (E409, E410, E412, or E413) to maximize the procedural fee, provided the non-elective criteria are met.
Provider Fee$10.20
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
Age Restriction
Newborn or infant
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