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G238

G238Transverse scapular nerve

OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

G238 is a diagnostic and therapeutic procedure for a nerve block injection of the transverse scapular nerve. This procedure is listed in the 'NERVE BLOCKS - PERIPHERAL/OTHER INJECTIONS' subcategory of the Schedule of Benefits. A 50% premium (E958) can be added if alcohol or other sclerosing solutions are used.

When to Use

  • Use G238 for targeted suprascapular nerve blocks in patients with chronic shoulder pain or adhesive capsulitis when diagnostic or therapeutic relief is required.
  • Select G238 when performing a peripheral nerve block specifically for the transverse scapular nerve, distinct from general trigger point injections like G372 or G373.

Common Pitfalls

  • Billing G238 in addition to a surgical procedure performed on the same site is prohibited, as the nerve block is considered part of the surgical fee.
  • Attempting to bill for ultrasound or fluoroscopic guidance alongside G238 will result in a rejection, as imaging fees are explicitly excluded for this code category.
  • Submitting G238 with a physical assessment code without ensuring the procedure is distinct and separately payable, though G238 is generally eligible for concurrent billing.

Billing Tips

  • Always append E958 to G238 if you are using alcohol or sclerosing agents to capture the mandatory 50% premium for the procedure.
Provider Fee$34.10

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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