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G267

G267Intra-operative evaluation of movement disorder patient during functional neurosurgery

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

The G267 service covers the intra-operative evaluation of a patient with a movement disorder while they are undergoing functional neurosurgery. This procedure involves the physician's direct involvement in assessing the patient's neurological status and response during the surgical procedure to guide the surgery. As per the OHIP Schedule of Benefits, this service includes all common elements of an insured service as defined on pages - of the Schedule.

When to Use

  • Use G267 when performing direct neurological assessment of a patient during deep brain stimulation (DBS) implantation to guide lead placement.
  • Claim G267 when evaluating a patient's tremor or rigidity response during intra-operative testing to confirm the efficacy of a functional neurosurgical intervention.

Common Pitfalls

  • Attempting to claim G413 alongside G267 will result in G413 being paid at nil as they are mutually exclusive on the same day.
  • Adding assistant units to a claim for G267 will trigger a rejection because this code is explicitly ineligible for assistant billing.

Billing Tips

  • Ensure the operative report clearly delineates the time spent on neurological assessment to justify G267, as it is a procedure-based fee rather than a time-based consultation.
Provider Fee$270.05

Effective: April 1, 2025

Category

J. Diagnostic and Therapeutic Procedures

Subcategory

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

Service Type

Procedure

Code Classes

Diagnostic and Therapeutic Procedures

G413 payable at nil when claimed with G267 same patient, same day.

G267 is not payable with assistant units.

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