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G260

G260Major plexus block

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

A major plexus block is a block of one of the following: - brachial plexus - lumbar plexus - sacral plexus - deep cervical plexus, or - a combined 3-in-1 block which must include the femoral, obturator and lateral femoral cutaneous nerves.

When to Use

  • Use G260 when performing a brachial, lumbar, sacral, or deep cervical plexus block for regional anesthesia or pain management.
  • Use G260 for a combined 3-in-1 block, provided it explicitly includes the femoral, obturator, and lateral femoral cutaneous nerves.
  • Use G260 when performing multiple individual peripheral nerve blocks that fall entirely within the distribution of a single major plexus.

Common Pitfalls

  • Billing individual nerve blocks (e.g., radial, median, and ulnar) separately when they are part of a brachial plexus distribution; only G260 is payable.
  • Attempting to bill G260 alongside additional minor nerve blocks that are already encompassed by the major plexus distribution, which will result in a rejection or recovery.
  • Failing to distinguish between a major plexus block and a simple peripheral nerve block; G060 should be used for isolated peripheral nerves that do not constitute a major plexus.

Billing Tips

  • If you perform a peripheral nerve block outside the distribution of the major plexus (e.g., a sciatic block alongside a 3-in-1 block), you may bill G260 and the additional block separately.
  • Ensure the medical record explicitly lists the specific nerves blocked for a 3-in-1 procedure to justify the use of G260 over individual minor block codes.
Provider Fee$80.00

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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