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G245
G245 – Lumbar epidural or intrathecal injection of sclerosing solution
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Lumbar epidural or intrathecal injection of sclerosing solution is a therapeutic procedure where a sclerosing agent is injected into the lumbar epidural or intrathecal space.
When to Use
- Use G245 specifically for the therapeutic injection of a sclerosing agent into the lumbar epidural or intrathecal space to treat chronic pain or specific radicular symptoms.
- Select G245 when the procedure is performed as a standalone therapeutic intervention, distinct from diagnostic blocks like G239 or G918.
Common Pitfalls
- Billing G245 in conjunction with a local anesthetic or nerve block performed by the same physician will result in a rejection, as the injection is considered inclusive under GP100 rules.
- Confusing G245 with G246; ensure the anatomical site and the nature of the solution injected match the specific code definition to avoid audit flags.
Billing Tips
- Ensure the procedure note explicitly documents the use of a sclerosing agent, as this is the defining clinical requirement that differentiates G245 from standard diagnostic injections like G117 or G119.
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