G610 – Neonatal intensive care - Level B - 1st day
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Neonatal Intensive Care is the service rendered by a physician for being in constant or periodic attendance during a one-day period, to provide all aspects of care to Intensive Care Area patients. This consists of an initial consultation or assessment and such subsequent assessments as may be indicated, including ongoing monitoring of the patient's condition and the following procedures as required: insertion of arterial, venous, C.V.P. or urinary catheters, intravenous lines, interpreting of blood gases, nasogastric intubation with or without anaesthesia, pressure infusion sets and pharmaceutical agents, endotracheal intubation, tracheal toilet, artificial ventilation and all necessary measures for respiratory support. Separately billable interventions may be claimed in addition to these fees. Level B specifically includes intensive care with monitoring (invasive or non-invasive), oxygen administration and intravenous therapy, but without ventilatory support.
When to Use
- Use G610 for a neonate requiring intensive monitoring and IV therapy who does not meet the criteria for mechanical ventilation or CPAP support.
- Apply this code when managing a newborn in an intensive care setting who requires frequent assessments and interventions like arterial line insertion or blood gas interpretation, but remains off ventilatory support.
Common Pitfalls
- Billing G610 in conjunction with C101 (Intensive Care Unit premium) will result in an automatic rejection as these are mutually exclusive.
- Claiming G610 for a patient who was transferred from a different level of care on the same day is incorrect; you must use the second-day equivalent (G611) regardless of the direction of the level change.
Billing Tips
- Ensure that you do not bill for individual procedures like nasogastric intubation or catheter insertion, as these are bundled into the G610 daily management fee.
- If the patient requires ventilatory support at any point during the day, you must transition to the appropriate Level C or D code (e.g., G620 or G621) instead of G610.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
ManagementFee
Diagnostic and Therapeutic Procedures
Newborn patient
Physician-in-charge is the physician(s) daily providing the Neonatal Intensive Care.
These are team fees which apply to neonatologists /paediatricians/anaesthetists providing complete care. If infant has been transferred from one level to another in either direction, up or down, second day benefits apply.
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