G620

PDF page 447 / J33

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.

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 2305. Record Layout PDF, page 1.

G62020250401999999990000162950000000000000000000000000000000000000000000000

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.