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G521 – Life threatening critical care - first 1/4 hour

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

The service rendered when a physician provides critical care to a critically ill or critically injured patient. For the purpose of this service, a critical illness or critical injury is one that acutely impairs one or more vital organ system(s) causing vital organ system failure as a result of which imminent life threatening deterioration in the patient's condition is highly probable. Commentary: Examples of vital organ system failure include but are not limited to: central nervous system failure, circulatory failure, shock, renal, hepatic, metabolic and or respiratory failure. Amount payable per physician per patient for the first three physicians: • G521: first ¼ hour (or part thereof) • G523: second ¼ hour (or part thereof) • G522: after first ½ hour, per ¼ hour (or part thereof) For the fourth and subsequent physicians, see G391.
Usage limits
[3, "lifetime", "per_patient_per_physician", "Payable per physician per patient for the first three physicians."]

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