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G380
G380 – Cutdown including cannulation as necessary
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Cutdown including cannulation as necessary is a procedure for gaining intravenous access, typically when peripheral venous access is not feasible. The service involves making a surgical incision to expose a vein, followed by the insertion of a cannula.
When to Use
- Use G380 when peripheral venous access is impossible due to shock, severe dehydration, or anatomical constraints, necessitating a surgical cutdown.
- Bill this code when you perform a formal venous cutdown and cannulation in an emergency or surgical setting where standard percutaneous cannulation has failed.
Common Pitfalls
- Do not bill G380 for standard percutaneous IV starts, as these are considered part of the assessment or resuscitation and are not separately billable procedures.
- Avoid billing G380 alongside minor procedure codes if the cutdown is the primary surgical intervention, as this may trigger audit flags for unbundling.
Billing Tips
- Always append the appropriate After Hours Procedure Premium (E409, E410, E412, or E413) if the procedure meets the timing and non-elective criteria to significantly increase the base fee.
- Ensure the clinical record explicitly justifies why percutaneous access was unsuccessful, as this is the primary requirement for justifying the surgical cutdown fee.
Provider Fee$27.05
Effective: April 1, 2025
Since Apr 2004, this fee has increased 0.0% vs 57.0% CPI inflation
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
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