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G376

G376Intravenous injection or infusion - Newborn or infant

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

An intravenous procedure performed on a newborn or infant. Note: 1. G376 or G379 apply to cryoprecipitate infusion. 2. G376 or G379 may not be claimed with x-rays as they are included in the service. 3. Except for G381, injections into established I.V. apparatus may not be claimed.

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

1. G376 or G379 apply to cryoprecipitate infusion.

2. G376 or G379 may not be claimed with x-rays as they are included in the service.

3. Except for G381 or G281, injections into established I.V. apparatus may not be claimed.

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