G860 – Hospital haemodialysis or haemodiafiltration
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
G860 is the chronic dialysis weekly team fee for hospital-based haemodialysis. This service is intended to be claimed once per 7-day period and covers the management of the patient by a multidisciplinary team. As per the note on page , the physician should claim the code representing the predominant location and modality of care for the week. As a team fee, it encompasses the routine care provided by various physicians involved in the patient's dialysis management during the week, as referenced in the commentary on multidisciplinary care on page .
When to Use
- Claim G860 once per 7-day period for patients receiving chronic hospital-based haemodialysis where the hospital setting is the predominant location of care.
- Use this code to capture the multidisciplinary management fee when a patient undergoes haemodiafiltration within a hospital-based dialysis unit.
Common Pitfalls
- Billing individual assessment codes (e.g., A007) for routine dialysis management during the same week as G860 will trigger an automatic rejection due to the multidisciplinary team fee restriction.
- Claiming G860 in addition to G861 or G862 for the same patient within the same 7-day period is an audit risk, as you must select the single code representing the predominant modality.
- Failure to account for the 7-day rolling period can lead to duplicate claims if the billing cycle is not strictly monitored.
Billing Tips
- Ensure the claim reflects the predominant modality for the week; if a patient transitions between hospital and home dialysis, only the code corresponding to the majority of treatments for that 7-day block is eligible.
- Coordinate with the multidisciplinary team to ensure only one physician claims the G860 fee per week, as the fee is intended to cover the entire team's routine management.
Effective: April 1, 2026
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
ManagementFee
Diagnostic and Therapeutic Procedures
Claim the code representing the predominant location and modality.
Where 3 or more treatments are rendered per 7-day period at an auxiliary treatment centre, the service comprises the chronic dialysis weekly team fee paid at the full amount, regardless of the number of treatments rendered.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.