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G067
G067 – Intrapleural block with continuous catheter
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
G067 is defined as an intrapleural block with continuous catheter. As per the Schedule, this is listed as one of the Major Invasive Procedures that is eligible for after-hours procedure premiums (E409/E410 for non-ED physicians, E412/E413 for ED physicians) if the service is non-elective or meets specific criteria for delayed elective procedures as outlined on page . This service is part of the 'Nerve Blocks for Acute Pain Management' section.
When to Use
- Use G067 for the placement of an intrapleural catheter specifically for continuous infusion of local anesthetic in patients with severe rib fractures or post-thoracotomy pain.
- Select G067 when the procedure involves the insertion of a catheter for ongoing pain management, distinguishing it from single-injection blocks like G066.
Common Pitfalls
- Billing G067 alongside a general anaesthetic code is often flagged; ensure the clinical record clearly justifies the nerve block as a distinct therapeutic procedure.
- Attempting to claim G067 with a Special Visit Premium (e.g., K963) without meeting the 'non-elective' criteria for the after-hours procedure premium will lead to rejection or audit clawbacks.
- Confusing G067 with G247; G067 is specifically for the continuous catheter placement, whereas other nerve block codes do not account for the catheter maintenance component.
Billing Tips
- Always append the appropriate after-hours procedure premium (E409/E410) to G067 when performed on an urgent basis outside of standard hours to maximize the 50-75% fee increase.
- Document the specific indication for the continuous catheter to differentiate it from a single-shot block, as this is the primary justification for the higher fee associated with G067.
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