G802

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 2353. Record Layout PDF, page 1.

G80220250401999999990000083800000000000000000000000000000000000000000000000

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.