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G248
G248 – Caudal, single injection
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Performs a single injection for a caudal nerve block. This service is classified as a neuraxial procedure for acute pain management. See the 'Nerve Blocks for Acute Pain Management' section of the Schedule of Benefits on page ().
When to Use
- Use G248 when performing a single-injection caudal block specifically for acute pain management.
- Use G248 for therapeutic caudal injections in the acute setting, distinguishing it from chronic pain management codes which fall under different fee schedules.
Common Pitfalls
- Billing G248 in conjunction with a primary surgical procedure performed by the same physician; the block is considered part of the global surgical fee unless it is for post-operative pain control exceeding 4 hours.
- Attempting to bill G248 alongside G224; G224 is specifically for post-operative pain control blocks, and billing both for the same site will result in a rejection for duplicate service.
- Failing to apply the correct after-hours premium (E409-E413) when the procedure is non-elective and performed outside standard hours, as G248 is explicitly listed as a major invasive procedure eligible for these premiums.
Billing Tips
- Ensure that if an anaesthesiologist is involved for sedation during the block, you bill E030C or E031C appropriately, as G248 does not include the fee for procedural sedation.
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