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Billing code

G512A — Palliative Care Case Management (weekly)

Weekly palliative case management

Bill G512 once per week for the most responsible physician's supervision of a patient's palliative care, in any location.

Watch for: One per patient per week; G511, K071 and K072 aren't payable to any physician for the patient that week.

Code

G512A

Description

Palliative Care Case Management (weekly)

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Weekly palliative care case management by the most responsible physician. One per patient per week; no G511, K071 or K072 that week.

What it covers

G512 pays for supervising a patient's palliative care for one week, starting at midnight Sunday. It covers monitoring the patient (including ordering and interpreting tests), phone advice to the patient, family or representative even when they call, and arranging assessments, procedures or therapy and coordinating community and hospital care, such as urgent palliative radiation or chemotherapy, blood transfusions, paracentesis or thoracentesis, and intravenous or subcutaneous therapy (J102).

The patient can be in any location, including home, hospital or a nursing home (J102). Palliative care is care in the final year of life with no aggressive treatment of the underlying disease, directed at comfort until death (GP5).

Billing rules

• Only the most responsible physician for the patient's care, or a physician substituting for them (J102).
• Maximum one per patient per week (Monday to Sunday). If the patient moves to another most responsible physician mid-week, only the physician who provided the service for the majority of the week is paid (J102).
• Payable for a partial week when the patient dies or care starts part way through the week (J102).
• G511, K071 and K072 are not payable to any physician for the patient in a week G512 is billed (J102).
• Assessments, subsequent visits, W010, K023 and special visit premiums are still payable in a G512 week (J102).
• OMA's guide adds that the most responsible physician may still bill G512 after referring to a palliative care specialist, if the Schedule requirements are met, and that it can be billed for up to one year (OMA palliative guide p.4).

Often billed with

• K023 palliative care support, which stays payable in a G512 week (J102, A2).
• Palliative home visit special visit premiums such as B966 and B998, billed with the home visit, which also stay payable (J102, GP76).

Related codes: G511, K023, K071, K072, W010, B998

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Palliative Care — Palliative Care Case Management Fee, page J102 (definition GP5); OMA palliative care guide (2023) p.4

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