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G230
G230 – Sciatic nerve - unilateral
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
A percutaneous unilateral block of the sciatic nerve. This service is listed under the "Nerve Blocks - Peripheral/Other Injections" subsection of the Diagnostic and Therapeutic Procedures section of the Schedule.
When to Use
- Use G230 for a diagnostic or therapeutic unilateral sciatic nerve block performed for chronic pain management or localized anesthesia.
- Select G230 when performing a peripheral nerve block specifically targeting the sciatic nerve, as opposed to a broader plexus block or a different peripheral nerve such as the femoral nerve (G226).
Common Pitfalls
- Billing G230 in conjunction with ultrasound or nerve stimulation guidance will result in a rejection or recovery, as these are considered inclusive to the procedure fee.
- Attempting to bill a separate tray fee or local anesthetic agent is prohibited, as these costs are bundled into the G230 fee per GP100/GP101.
- Submitting G230 for bilateral procedures without appropriate manual review or modifier usage often triggers audit flags; ensure clinical documentation clearly supports the medical necessity of unilateral versus bilateral intervention.
Billing Tips
- Ensure the clinical note explicitly identifies the sciatic nerve as the target to distinguish it from other peripheral nerve blocks like G226, which may carry different clinical indications.
Provider Fee$54.65
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
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