What is OHIP billing code G291?

G291 is "Occipital nerve block - first block per day in excess of 16 per calendar year", an OHIP Diagnostic and Therapeutic Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does G291 pay?

The current OHIP fee for G291 is $19.85, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill G291 to OHIP?

G291 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates G291 claims against the Schedule of Benefits rules before submission.

What codes are related to G291?

Codes related to G291 in the Schedule of Benefits include G264, G265, G292.

All codes

G291

G291 – Occipital nerve block - first block per day in excess of 16 per calendar year

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

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Occipital nerve - first block per day in excess of 16 per calendar year may be payable on an independent consideration (IC) basis upon submission to the ministry of a written recommendation of an independent expert as described below. (maximum 1 per day to a maximum of 16 blocks for a single IC request). A new written recommendation is required on an IC basis each time the number of first blocks exceeds 16

Pre-authorization required

Payable on an independent consideration (IC) basis upon submission to the ministry of a written recommendation of an independent expert.

A new written recommendation is required on an IC basis each time the number of first blocks exceeds 16.

For the purpose of G291, an 'independent expert' in respect of a patient is a physician who: • a. has special knowledge and expertise in multidisciplinary management of chronic non-malignant pain; • b. did not refer the patient for treatment; • c. is not actively involved in management of the patient; and • d. receives no direct or indirect financial benefit for the nerve block services being rendered to the patient.

G264 G265 G292

1. G265 and G292 are insured services payable at nil unless an amount is payable for G264 or G291 rendered to the same patient the same day.

2. When an amount is payable for G264, the amount payable for G291 rendered to the same patient on the same day is nil.

3. When an amount is payable for G265, the amount payable for G292 rendered to the same patient on the same day is nil.

4. For the purpose of G291, independent expert in respect of a patient is a physician who: a. has special knowledge and expertise in multidisciplinary management of chronic non-malignant pain; b. did not refer the patient for treatment; c. is not actively involved in management of the patient; and d. receives no direct or indirect financial benefit for the nerve block services being rendered to the patient.

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