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G800 – Hyperbaric oxygen therapy - first 1/4 hour

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

Hyperbaric Oxygen Therapy (HBOT) is the service rendered when a physician administers and supervises HBOT. The specific elements of HBOT are those of an assessment as defined in , including ongoing monitoring of the patient's condition and intervening as appropriate. This service, G800, is for the first 1/4 hour of a session where the physician is in constant attendance inside the chamber with the patient(s). Time is calculated based on the period of physician supervision while each patient receives HBOT inside the chamber.
The start and stop times of the service must be recorded in each patient's permanent medical record. Per , if the patient's permanent medical record or chart does not include this required information, the service is not eligible for payment.

HBOT is insured only for the treatment of those internationally recognized indications approved by the ministry.

HBOT is only eligible for payment for idiopathic sudden sensorineural hearing loss (ISSHL) when the following conditions are met: a. The patient is treated concurrently with corticosteroid unless corticosteroids are contraindicated; b. The treatment is initiated within 30 days of a diagnosis of ISSHL; and c. The diagnosis of ISSHL is made or confirmed by an Otolaryngologist prior to the initiation of treatment.

HBOT is only eligible for payment for avascular necrosis (AVN) of bone following diagnostic imaging confirmation of symptomatic early to mid-stage AVN, e.g. Ficat stage I, II, or III or equivalent.

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