G400

PDF page 445 / J31

DIAGNOSTIC AND THERAPEUTIC PROCEDURES
 CRITICAL CARE
                                                                                             Fee
        CRITICAL CARE (INTENSIVE CARE AREA)
         Critical Care is the service rendered by a physician for providing, in an Intensive Care Area, all
         aspects of care of a critically ill patient excluding ventilatory support and includes initial
         consultation and assessment, emergency resuscitation, intravenous lines, cutdowns,
         intraosseous infusion, pressure infusion sets and pharmacological agents, insertion of arterial,
         C.V.P. or urinary catheters and nasogastric intubation with or without anaesthesia, securing and
         interpretation of laboratory tests, oximetry, transcutaneous blood gases, and intracranial
         pressure monitoring interpretation and assessment when indicated (excluding insertion of
         I.C.P. measuring device). Except when a patient is on a ventilator, these fees are not payable
         for services rendered to stabilized patients in I.C.U.s, or patients admitted for ECG monitoring
         or observation alone. If the patient has been transferred from comprehensive care to critical
         care, the day of the transfer shall be deemed for payment purposes to be the second day of
         critical care.
     Physician-in-charge
# G400 - 1st day................................................................................ 223.10
# G401 - 2nd to 30th day, inclusive .................................... per diem                146.45
# G402 - 31st day onwards ................................................ per diem               58.60
    VENTILATORY SUPPORT (INTENSIVE CARE AREA)
     Ventilatory Support includes provision of ventilatory care including initial consultation and
     assessment of the patient, intravenous lines, endotracheal intubation with positive pressure
     ventilation including insertion of arterial C.V.P lines, tracheal toilet, use of artificial ventilator and
     all necessary measures for its supervision, obtaining and interpretation of blood gases,
     oximetry, transcutaneous blood gases and assessment. If the patient has been transferred from
     comprehensive care to ventilatory care, the day of the transfer shall be deemed for payment
     purposes to be the second day of ventilatory care.
     Physician-in-charge
# G405 - 1st day................................................................................ 183.80
# G406 - 2nd to 30th day, inclusive .................................... per diem                 96.45
# G407 - 31st day onwards ................................................. per diem              64.20
    COMPREHENSIVE CARE (INTENSIVE CARE AREA)
     Comprehensive Care is the service rendered by an Intensive Care physician who provides
     complete care (both Critical Care and Ventilatory Support as defined above) to Intensive Care
     Area patients. This service includes the initial consultation and assessment and subsequent
     examinations of the patient, endotracheal intubation, tracheal toilet, artificial ventilation and all
     necessary measures for respiratory support, emergency resuscitation, insertion of intravenous
     lines, cutdowns, intraosseous infusion, arterial and/or venous catheters pressure infusion sets
     and pharmacological agents, insertion of C.V.P. lines, defibrillation, cardioversion and usual
     resuscitative measures, insertion of urinary catheters and nasogastric intubation with or without
     anaesthesia, securing and interpretation of blood gases and laboratory tests, oximetry,
     transcutaneous blood gases, intracranial pressure monitoring interpretation and assessment
     when indicated (excluding insertion of I.C.P. measuring device). Except when a patient is on a
     ventilator, these fees are not payable for services rendered to stabilized patients in I.C.U.s or
     patients admitted for E.C.G. monitoring or observation alone. If the patient has been transferred
     from critical care to comprehensive care, the day of the transfer shall be deemed for payment
     purposes to be the second day of comprehensive care.

PDF page 449 / J35

Physician not in constant attendance
     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.
# G807 - not in the hyperbaric unit, supervision................................         35.75
     Payment rules:
     1. G807 is limited to a maximum of one per patient per day.
          2. G807 is limited to a maximum of 3 per physician per day.
          3. G807 is not eligible for payment for the same patient, same day as G800, G801, or G802.
          4. G805 is limited to a maximum of three units when claimed with G807 same patient same
            day.
          Medical record requirements:
          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.
          [Commentary:
          As of April 1, 2026, the following indications were approved by the MOH.
                 • air or gas embolism
                 • carbon monoxide poisoning and/or cyanide poisoning
                 • clostridial myositis and myonecrosis (gas gangrene)
                 • crush injury, compartment syndrome, and other acute traumatic ischemias
                 • decompression sickness
                 • enhancement of healing in selected problem wounds
                 • exceptional blood loss
                 • intracranial abscess
                 • necrotizing soft tissue infections (subcutaneous tissue, muscle, fascia)
                 • osteomyelitis (refractory)
                 • delayed radiation injury (soft tissue and bony necrosis)
                 • skin grafts and flaps (compromised)
                 • thermal burns
                 • idiopathic sudden sensorineural hearing loss (ISSHL)
                 • avascular necrosis (AVN) of bone]
    Hypothermia induction
# G210 Hypothermia (therapeutic) induction and management..........                    190.75
     ICU/NICU admission assessment fee
   G556   - ICU/NICU admission assessment is an initial visit
            rendered during night time (00:00-07:00), to G400, G405,
            G557, G600, G603, G604, G610 or G620 ................. add                 136.40
          Payment rules:
          G556 is payable once per patient per hospital admission.

Master, record 2111. Record Layout PDF, page 1.

G40020250401999999990000223100000000000000000000000000000000000000000000000

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.