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G266

G266Electrophysiological assessment of movement disorders

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

Electrophysiological assessment of movement disorders which includes multi-channel recording of EEG and EMG, rectification, averaging, back averaging, frequency analysis and cross correlation. This service requires a minimum duration of 3 hours, and the physician must be physically present throughout the entire assessment.

When to Use

  • Use G266 for complex movement disorder investigations requiring multi-channel EEG/EMG analysis, such as differentiating psychogenic tremor from organic myoclonus.
  • Select G266 when the diagnostic protocol necessitates advanced signal processing like back-averaging or cross-correlation that exceeds the scope of a standard G548 EMG study.

Common Pitfalls

  • Billing G266 without explicitly recording the start and end times in the clinical notes, which is a mandatory requirement for all time-based codes under GP7.
  • Attempting to bill G266 for assessments lasting less than 180 minutes, as the code strictly mandates a minimum 3-hour duration for the physician's physical presence.
  • Failing to document the specific signal analysis techniques used, such as rectification or frequency analysis, which are required components of the G266 service definition.

Billing Tips

  • Ensure the medical record clearly justifies the 3-hour duration by detailing the multi-channel recording and subsequent signal processing steps performed during the session.
  • If subtemporal needle electrodes are required for the assessment, remember to add G417 to the claim as an eligible add-on code to maximize the procedural fee.
Provider Fee$278.85

Effective: April 1, 2025

Category

J. Diagnostic and Therapeutic Procedures

Subcategory

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Service Type

Diagnostic

Code Classes

Diagnostic and Therapeutic Procedures

Physician must be physically present throughout assessment.

The assessment must have a minimum duration of 3 hours.

The start and end times of the service must be recorded in the patient's permanent medical record as per general requirements for services with a minimum time duration ().

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