G060 – Peripheral nerve block, major
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
A major peripheral nerve block for acute pain management. Payment rules: 1. The G060 service must consist of one of the following: - a. a block of one of: radial, median, ulnar, musculocutaneous, femoral, sciatic, common peroneal and/or tibial, obturator, suprascapular, pudendal (uni or bilateral), trigeminal or facial nerve; - b. a paravertebral block – first injection only; - c. an ankle block (must include 2 or more of the following: deep peroneal, superficial peroneal, posterior tibial, saphenous or sural nerve); or - d. a fascia iliaca block. 2. G060 is limited to a maximum of 4 services per patient per physician per day. 3. When a major peripheral nerve block is rendered, additional blocks of one or more nerves within the same nerve distribution are not eligible for payment.
When to Use
- Use G060 for a single-injection fascia iliaca block or a paravertebral block (first level only) for acute pain management.
- Use G060 for an ankle block only when you document the successful blockade of at least two of the five specified nerves (deep peroneal, superficial peroneal, posterior tibial, saphenous, or sural).
- Use G060 for a single major peripheral nerve block (e.g., femoral or sciatic) when it is performed independently of a plexus block.
Common Pitfalls
- Billing G060 alongside G260 for nerves within the same distribution; the Ministry will reject the G060 as it is considered inclusive to the plexus block.
- Attempting to bill multiple individual nerve blocks within the same distribution as separate G060 claims; only one G060 is payable per distribution.
- Claiming G060 for an ankle block without explicitly documenting the specific nerves blocked, which leads to audit recovery if the 'two or more' requirement is not met.
Billing Tips
- When performing multiple distinct blocks in different distributions, ensure your operative note clearly separates the anatomical sites to justify claiming multiple units of G060 (up to the daily limit of 4).
- Always append the appropriate after-hours procedure premium (E409/E410 for non-ED physicians or E412/E413 for ED physicians) to G060 for non-elective cases to maximize the procedural fee.
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