What are the billing rules for G863A?

One weekly fee per patient for a 7-day period starting at midnight Sunday, payable to the most responsible physician; other physicians' services that the fee includes are paid at nil (J39). Claim the code for the predominant location and modality that week (J40). If the patient is treated part of the week at an auxiliary treatment centre, the principal centre's claim is reduced to 1/7 of the weekly fee for each day the patient was its responsibility (J39).

What is G863A often billed with?

Hospital admission assessment and subsequent visits (for example C162) when the patient is admitted for complications or intercurrent illness, which the team fee excludes (J39).

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Billing code

G863A — Chronic Dialysis Weekly Team Fee - Independent Health Facility Haemodialysis

Q: What is OHIP billing code G863A?

Weekly all-inclusive physician team fee for a patient on chronic haemodialysis at an ICHSC, paid to the most responsible physician.

Weekly dialysis fee, community centre

Bill G863 once per week as most responsible physician when the patient's main dialysis was haemodialysis at an Integrated Community Health Services Centre.

Watch for: Claim the code for that week's predominant location and modality; included consultations and visits aren't billed separately.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$135.80	$0.00	$0.00	$0.00	$0.00

Code: G863A
Description: Chronic Dialysis Weekly Team Fee - Independent Health Facility Haemodialysis
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Apr 1, 2026
Termination date: No end date

Explanation

Updated October 26, 2026

Weekly all-inclusive physician team fee for a patient on chronic haemodialysis at an ICHSC, paid to the most responsible physician.

What it covers

The chronic dialysis team fee is the all-inclusive weekly benefit per patient for the professional side of managing chronic dialysis and end-stage renal failure. It is modality independent and has the same value whether dialysis is in hospital, community or home, haemodialysis or peritoneal (J39).

G863 is the weekly team fee when the predominant modality and location is haemodialysis in an Integrated Community Health Services Centre (ICHSC) (J40).

Billing rules

One weekly fee per patient for a 7-day period starting at midnight Sunday, payable to the most responsible physician; other physicians' services that the fee includes are paid at nil (J39).
Claim the code for the predominant location and modality that week (J40).
If the patient is treated part of the week at an auxiliary treatment centre, the principal centre's claim is reduced to 1/7 of the weekly fee for each day the patient was its responsibility (J39).
Includes all consultations and visits to manage chronic dialysis (including in-patients on chronic dialysis), nephrology and internal medicine care of dialysis complications and end-stage renal disease, related counselling, interviews, psychotherapy and case conferences (J39).
Not included, so billed separately: ED assessments and special visit premiums for emergent calls; admission assessments and subsequent visits for acute in-patients with complications or intercurrent illness; other procedures including acute dialysis; consults by other specialties; the family physician's primary care; transplant program entry assessment (J39).
Marked #: the fee doesn't include premises, equipment, supplies or staff (J1).

Often billed with

Hospital admission assessment and subsequent visits (for example C162) when the patient is admitted for complications or intercurrent illness, which the team fee excludes (J39).

Related codes: G860, G861, G862, G864, G865, G866, G325

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Dialysis (Chronic dialysis team fee), page J40; rules J39.

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