G214 – Brachial plexus block
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This service provides for a peripheral nerve block injection into the brachial plexus. As per the Schedule of Benefits, this diagnostic and therapeutic procedure includes all common and constituent elements of an insured service (see , ), such as obtaining history, maintaining records, and providing necessary prescriptions.
When to Use
- Use G214 when performing a regional brachial plexus block for localized anesthesia or pain management, distinct from the more complex G243 or G244 regional anesthesia codes.
- Select G214 for diagnostic nerve blocks targeting the brachial plexus when the procedure does not meet the criteria for a major surgical anesthetic block.
Common Pitfalls
- Billing G214 in conjunction with a surgical procedure code that already includes the anesthetic block in its global fee will result in a rejection for duplicate billing.
- Submitting G214 for a simple trigger point injection or a minor peripheral nerve block that should be billed under a different specific diagnostic code is a common audit trigger.
Billing Tips
- Ensure the clinical record explicitly identifies the specific nerve distribution targeted to differentiate G214 from other peripheral nerve block codes like G264 or G265.
Effective: April 1, 2025
J. Diagnostic and Therapeutic Procedures
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Procedure
Diagnostic and Therapeutic Procedures
As per , all insured services must be documented in appropriate records to establish that: an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
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