G861 – Hospital peritoneal dialysis
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
G861 is the weekly team fee for managing a patient undergoing chronic peritoneal dialysis in a hospital. This fee should be claimed to represent the predominant location and modality of care for the patient over a 7-day period.
When to Use
- Use G861 when the patient is receiving chronic peritoneal dialysis specifically within a hospital setting for the majority of the 7-day billing period.
- Select G861 over G860 when the patient transitions from home-based hemodialysis to hospital-based peritoneal dialysis for the duration of the weekly cycle.
Common Pitfalls
- Claiming G861 alongside G860, G862, G863, G864, G865, or G866 for the same patient in the same 7-day window will trigger an automatic rejection.
- Billing G861 when the patient's predominant dialysis location for the week was an auxiliary treatment center, which may require a different code from the G860-G866 series.
Billing Tips
- Ensure your billing cycle aligns with the 7-day period; if a patient switches modalities mid-week, claim the code corresponding to the location where the patient spent the majority of those 7 days.
Effective: April 1, 2026
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
ManagementFee
Diagnostic and Therapeutic Procedures
1. Claim the code representing the predominant location and modality.
2. 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.
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