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G061
G061 – Peripheral nerve block, minor
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
A minor peripheral nerve block for acute pain management. The G061 service must consist of one of the following: - A block of one of: ilioinguinal and/or iliohypogastric, genitofemoral, lateral femoral cutaneous, saphenous, occipital, supraorbital, infraorbital or glossopharyngeal nerve; - An intercostal block; - A superficial cervical plexus block; - A transversus abdominis plane (TAP) block; or - A paravertebral block – additional injection.
When to Use
- Use G061 for a single-site occipital nerve block performed for the management of acute headache or neuralgia.
- Use G061 when performing a transversus abdominis plane (TAP) block for post-operative analgesia following abdominal surgery.
- Use G061 for an intercostal nerve block to manage acute pain associated with rib fractures.
Common Pitfalls
- Billing multiple G061 units for additional blocks within the same nerve distribution is a common rejection; only one G061 is payable per session regardless of the number of nerves blocked in that distribution.
- Mistaking G061 for trigger point injections (G279) or other minor procedures; ensure the specific nerve block performed is explicitly listed in the G061 definition.
- Failing to recognize that G061 is a procedure code; it does not include a consultation or assessment fee, which must be billed separately if a full assessment is performed.
Billing Tips
- If you are an Emergency Department Physician, ensure you use the 'H' prefix and apply the appropriate E412 or E413 premium to maximize the procedural fee for non-elective blocks.
- For non-ED physicians performing non-elective blocks after hours, ensure you append E409 or E410 to the G061 claim to capture the 50% or 75% procedural premium.
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