Fee
| Component | Value |
|---|---|
| Provider fee | $564.00 |
Schedule and sources
- Fee edition
- October 1, 2026
- Record effective
- 2025-04-01
- Schedule edition
- July 22, 2026; effective July 1, 2026
- Official files
- Fee masterSchedule PDFOntario source page
Neonatal low volume intensive care - payable in lieu of G600 or G604 if sole newborn to maximum of 25 services per physician per fiscal year ..................................................... 564.00
Passages mentioning G603
NEONATAL INTENSIVE CARE
Neonatal Intensive Care is the service rendered by a physician for being in constant or periodic
attendance during a one-day period, to provide all aspects of care to Intensive Care Area
patients. This consists of an initial consultation or assessment and such subsequent
assessments as may be indicated, including ongoing monitoring of the patient's condition and
the following procedures as required: insertion of arterial, venous, C.V.P. or urinary catheters,
intravenous lines, interpreting of blood gases, nasogastric intubation with or without
anaesthesia, pressure infusion sets and pharmaceutical agents, endotracheal intubation,
tracheal toilet, artificial ventilation and all necessary measures for respiratory support.
Separately billable interventions may be claimed in addition to these fees. There are three
levels of neonatal intensive care depending on the procedures performed.
Level A
Full life support including monitoring (either invasive or non-invasive), ventilatory support and
parenteral alimentation (all modalities)
# G600 - 1st day ............................................................................... 376.05
# G601 - 2nd day onwards .................................................. per diem 187.95
# G603 Neonatal low volume intensive care - payable in lieu of G600
or G604 if sole newborn to maximum of 25 services per
physician per fiscal year ..................................................... 564.00
# G604 Neonatal low birth weight intensive care - payable in lieu of
G600 or G603 for newborn less than 750 grams in weight or
26 weeks gestational age................................................... 536.95
Level B
Intensive care including monitoring (invasive or non-invasive), oxygen administration and
intravenous therapy, but without ventilatory support
# G610 - 1st day................................................................................ 258.05
# G611 - 2nd day onwards, ................................................. per diem 129.00
Level C
Intermediate care including one or more of oxygen administration, non-invasive monitoring or
gavage feeding
# G620 - 1st day................................................................................ 162.95
# G621 - 2nd day onwards, ................................................. per diem 81.50
Note:
1.Physician-in-charge is the physician(s) daily providing the Neonatal Intensive Care.
2.These are team fees which apply to neonatologists /paediatricians/anaesthesiologists
providing complete care. If infant has been transferred from one level to another in either
direction, up or down, second day benefits apply.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.Fee master record
Master, record 2301. Record Layout PDF, page 1.
G60320250401999999990000564000000000000000000000000000000000000000000000000
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.
| Field | Raw / scale 10,000 |
|---|---|
| provider | 00005640000 / 564 |
| assistant | 00000000000 / 0 |
| specialist | 00000000000 / 0 |
| anaesthetist | 00000000000 / 0 |
| non anaesthetist | 00000000000 / 0 |
Explanation
AI-generated. Unreviewed.
This is a neonatal low volume intensive care service under Critical Care, Neonatal Intensive Care, listed at Level A.
Watch out for
Payable in lieu of G600 or G604 if sole newborn, to a maximum of 25 services per physician per fiscal year.
Related codes
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