G064 – Management and supervision of outpatient continuous nerve block infusion
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Management and supervision of outpatient continuous nerve block infusion or outpatient palliative epidural infusion In addition to the common elements, the components of this service include the following specific elements: A. Monitoring the condition of a patient with respect to the continuous nerve block infusion. B. Adjusting the dosage of the infusion therapy and, where appropriate, prescribing other therapy. C. Discussion with, and providing advice and information to the patient, patient’s relative(s), patient representative or other caregiver(s), by telephone or otherwise, on matters related to the service, regardless of the identity of the person initiating the discussion. D. Making arrangements for any related assessments, procedures or therapy and interpreting results as appropriate. E. Providing premises, equipment, supplies and personnel for the specific elements.
When to Use
- Use G064 for the daily management of an outpatient continuous peripheral nerve block infusion where no physical assessment or consultation is performed by the physician on that day.
- Apply this code for the ongoing supervision of an outpatient palliative epidural infusion when the service is limited to dosage adjustments and caregiver communication.
Common Pitfalls
- Billing G064 on the same day as any assessment code (e.g., A007, A001) or consultation will result in an automatic rejection.
- Failure to document a specific dated summary of the contact—whether by phone or in-person—will lead to clawbacks during an audit.
Billing Tips
- Ensure the service is billed as a management fee only when the physician does not perform a billable visit, as G064 is intended to cover the administrative and supervisory overhead of the infusion.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
ManagementFee
Diagnostic and Therapeutic Procedures
A dated summary of each contact must be recorded in the patient's permanent medical record or the service is not eligible for payment.
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