G373

PDF page 65 / GP51

Definition/Required Elements of Service:
  Monthly Management of a Nursing Home or Home for the Aged Patient is the provision by the most
  responsible physician (MRP) of routine medical care, management and supervision of a patient in a
  nursing home or home for the aged for one calendar month. The service requires a minimum of two
  assessments of the patient each month, where these assessments constitute services described as
  "W" prefix assessments.
  The requirements above are subject to the exceptions as described in payment rule #8.
         [Commentary:
         As with all services described as assessments, direct physical encounter with the patient is
         required.]
  In addition to the common elements, this service includes the provision of the following services by
  any physician to the same patient during the month.
  A. Services described by subsequent visits (e.g. W003, W008).
  B. Services described by additional visits due to “intercurrent illness” (W121) except if the conditions
     described in Payment rule #7 are satisfied.
  C. Services described by palliative care subsequent visits (e.g. W872).
  D. Services described by admission assessments (e.g. W102, W104, W107).
  E. Services described by periodic health visit or general re-assessments (e.g. W109, W004).
  F. Services described by visit for pronouncement of death (W777) or certification of death (W771)
     except if the services are performed in conjunction with a special visit.
  G. Service described by anticoagulation supervision (G271).
  H. Completion of home care referral form and home care supervision (K070, K071, K072).
  I. Services described by the following diagnostic and therapeutic procedures – venipuncture (G489),
     injection (G372, G373), immunization (G538, G590, G849), collection of cervical cancer screening
     specimen(s) (G365, G394, E430, E431), intravenous (G379), and laboratory test codes (G001,
     G002, G481, G004, G005, G009, G010, G011, G012, G014).
  J. All medication reviews.
  K. All discussions with the staff of the institution related to the patient’s care.
  L. All telephone calls from the staff of the institution, patient, patient’s relative(s) or patient’s
     representative in respect of the patient between the hours of 0700 hours and 1700 hours Monday
     to Friday (excluding holidays).
  M.Ontario Drug Benefit Limited Use prescriptions/forms or Section 8 Ontario Drug Benefits Act
    requests.

PDF page 468 / J54

INJECTIONS OR INFUSIONS
                                                                                                                            Fee           Anae
                 INTRAMUSCULAR, SUBCUTANEOUS OR INTRADERMAL
               G372 - with visit (each injection) .................................................... 4.55
               G373 - sole reason (first injection) .................................................  7.90
               G372     - each additional injection................................................... 4.55
                   Note:
                   1.G372, G373 includes interpretation.
                   2.G372, G373 are not insured for vitamin injections when rendered for the purpose of
                     facilitating weight loss.
                 IMMUNIZATION
                                          [Commentary:
                                          The immunization service may not be insured under some conditions. See Appendix A for link
                                          to relevant regulation.]
                                          Note:
                                          1.Where the sole reason for the visit is to provide the immunization service add G700.
                                          2.G700 service is only payable once per patient per day.
  + G840 Diphtheria, Tetanus, and acellular Pertussis vaccine/
           Inactivated Poliovirus vaccine (DTaP-IPV) - paediatric ......                                                      8.80
  + G841 Diphtheria, Tetanus, acellular Pertussis, Inactivated Polio
           Virus, Haemophilus influenza type b (DTaP-IPV-Hib) -
           paediatric............................................................................                             8.80
  + G842 Hepatitis B (HB) ......................................................................                              8.80
  + G843 Human Papillomavirus (HPV) .................................................                                         8.80
  + G844 Meningococcal C Conjugate (Men-C).....................................                                               8.80
  + G845 Measles, Mumps, Rubella (MMR) ..........................................                                             8.80
  + G846 Pneumococcal Conjugate.......................................................                                        8.80
  + G847 Diphtheria, Tetanus, acellular Pertussis (Tdap) - adult ...........                                                  8.80
  + G848 Varicella (VAR)........................................................................                              8.80
  + G849 Respiratory Syncytial Virus (RSV) ..........................................                                         8.80
  + G538 Other immunizing agents not listed above..............................                                               8.80
  + G590 Influenza agent .......................................................................                              8.80
  + G593 COVID-19 vaccine ..................................................................                                13.00
      INTRALESIONAL INFILTRATION
  + G375 - one or two lesions .............................................................. 10.50
  + G377 - 3 or more lesions................................................................ 15.80
    G383 - extensive (see General Preamble GP12)...........................                  I.C
        Note:
        Intralesional injection of acne lesions with corticosteroids is not an insured service.
  + G462 Administration of oral polio or rotavirus vaccine .....................                                              8.80
  + G592 Administration of intranasal influenza vaccine........................                                               1.65
    G384 Infiltration of tissues for trigger point.......................................                                     8.85
    G385    - for each additional site (to a maximum of 2) .............. add                                                 4.55

Master, record 2085. Record Layout PDF, page 1.

G37320260401999999990000007900000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.