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G807
G807 – Hyperbaric oxygen therapy supervision (physician not in constant attendance)
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
The service rendered when a physician supervises HBOT but is not physically present in the hyperbaric unit with the patient, but present in the facility and available to intervene in a timely fashion.
When to Use
- Use G807 when you are providing medical oversight for a hyperbaric session but are not physically inside the chamber or the immediate hyperbaric unit, provided you remain within the facility.
- Select G807 when the patient is undergoing a standard hyperbaric treatment session for an approved indication like refractory osteomyelitis or radiation necrosis and you are available for immediate consultation.
Common Pitfalls
- Claiming G807 on the same day as G800, G801, or G802 will result in an automatic rejection as these codes are mutually exclusive.
- Failing to document specific physician direction or contact with the hyperbaric unit during the session creates a significant audit risk, as physical presence alone is insufficient for this code.
- Exceeding the maximum of three units of G805 when billed in conjunction with G807 will trigger a payment adjustment.
Billing Tips
- Ensure your documentation explicitly notes your availability and any specific clinical guidance provided to the hyperbaric staff during the session to satisfy the 'direction provided' requirement.
Provider Fee$35.75
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Other
Code Classes
Diagnostic and Therapeutic Procedures
The medical record must demonstrate that there has been contact and/or direction provided to the hyperbaric unit in circumstances where G807 is claimed, otherwise the service is not eligible for payment.
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