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G243

G243Femoral nerve - unilateral

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

This service code is for a unilateral femoral nerve block. It is listed in the Schedule under the 'NERVE BLOCKS - PERIPHERAL/OTHER INJECTIONS' sub-category of 'Diagnostic and Therapeutic Procedures'. As this procedure is not on the list of delegatable procedures (), it must be rendered personally by the physician.

When to Use

  • Use G243 for a standalone unilateral femoral nerve block performed for chronic pain management or diagnostic purposes.
  • Use G243 when providing a therapeutic nerve block for acute pain relief in a clinic setting, provided it is not part of a surgical procedure performed by the same physician.

Common Pitfalls

  • Billing G243 in conjunction with a surgical procedure performed by the same physician will result in a rejection, as the block is considered inclusive to the surgery fee.
  • Attempting to bill G243 alongside G244 for bilateral blocks without appropriate documentation or modifier usage often triggers manual review or audit flags.

Billing Tips

  • Ensure the procedure is performed personally, as G243 is explicitly excluded from the list of delegatable procedures under GP63.
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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