G500month in which insulin injections (2 or more daily) or insulin by pump is initiated; or month in which initial assessment by a specialist of a diabetic patient treated with insulin injections (2 or more daily) or insulin by pump occurs, 1 or more contacts
DIAGNOSTIC AND THERAPEUTIC PROCEDURES · ENDOCRINOLOGY AND METABOLISM
$31.80What this reference tells you
G500 identifies the Ontario insured service described as “month in which insulin injections (2 or more daily) or insulin by pump is initiated; or month in which initial assessment by a specialist of a diabetic patient treated with insulin injections (2 or more daily) or insulin by pump occurs, 1 or more contacts.” The listed fee and rules are reference data; the clinical record must support the service actually performed.
Loaded billing requirements
- 1. G500 is limited to a maximum of two per patient per lifetime.
- 6. Only one of G500, G514 and G520 is eligible for payment per patient per physician per month.
- G500/G514/G520 is only eligible for payment when a dated summary of each contact is recorded in the patient's permanent medical r ecord.
Before using this code
Confirm the current Ministry publication, the patient and provider context, the date of service, and documentation supporting the claim. A searchable reference does not establish eligibility or guarantee payment.