G379 – Intravenous injection or infusion - Child, adolescent or adult
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This service is for an intravenous (IV) infusion rendered to a patient who is a child (age 2 to 15), adolescent (age 16 or 17), or adult (age 18 and older). It is applicable for cryoprecipitate infusion. It is considered a major invasive procedure and is eligible for after-hours procedure premiums (E409, E410, E412, E413). Payment for this service is inclusive of any associated x-rays; they cannot be billed separately. Injections into an established I.V. apparatus are not separately payable, with the exception of G381.
When to Use
- Use G379 for the initiation of an intravenous infusion in a child, adolescent, or adult patient when the procedure is distinct and not part of a routine monthly management fee.
- Use G379 specifically for the administration of cryoprecipitate infusion when performed as a major invasive procedure.
- Use G379 when performing a non-elective IV infusion in an emergency setting to qualify for after-hours procedure premiums like E409 or E410.
Common Pitfalls
- Do not bill G379 for patients enrolled in W010 (Monthly Management Fee for Nursing Home/Home for the Aged), as it is considered an inclusive component of that fee.
- Avoid billing separate x-ray codes with G379, as the fee is inclusive of any associated radiological services.
- Do not bill G379 for subsequent injections into an already established IV line, as these are not separately payable unless you are specifically using G381.
Billing Tips
- Ensure you append the appropriate after-hours premium (E409, E410, E412, or E413) if the procedure meets the non-elective criteria and time-of-day requirements to maximize the procedural fee.
- If you are an Emergency Department physician, ensure you use the 'H' prefix and the correct premium codes (E412 or E413) to ensure the claim is processed correctly for G379.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Procedure
Diagnostic and Therapeutic Procedures
Child, adolescent or adult
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