Fee Navigator®

    Governing Rule: 5.3

    BENEFITS FOR INTENSIVE CARE SERVICES (ICU).

    • 5.3.1

      Services provided to patients on a ventilator are eligible for an additional benefit; refer to HSC 13.62A.

    • 5.3.2

      Benefits for unscheduled services may be claimed according to GR 15.

    • 5.3.3

      Deleted

    • 5.3.4

      Deleted

    • 5.3.5

      Deleted

    • 5.3.6

      Procedures performed in ICU are payable as follows:

      1. the same encounter - the greater procedure at 100% and other procedures at 75% unless otherwise specified in the Schedule.
      2. to obtain payment at 100% for two or more procedures on the same date of service, the claim must indicate that the service was performed at a separate encounter.