All codes
G870
G870 – Botulinum toxin injection(s) of extraocular muscle(s), (unilateral)
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use G870 for the unilateral injection of botulinum toxin into an extraocular muscle to treat conditions like strabismus or blepharospasm.
- Select G870 when performing a single-side procedure, as opposed to G871 which covers bilateral extraocular muscle injections.
Common Pitfalls
- Billing G877 or G878 alongside G870 without documenting the medical necessity for EMG guidance to determine the injection site will result in a rejection.
- Attempting to claim E543 for disposable electrodes when the procedure is performed within a hospital setting is a common billing error that leads to automatic claim denial.
- Billing G870 in combination with other diagnostic EMG or ultrasound services for site determination is prohibited; only G877 or G878 are eligible for payment.
Billing Tips
- Always ensure the number of injections matches the chosen add-on: use G877 for a single injection and G878 for two or more injections to avoid audit flags.
- If the patient requires treatment more frequently than standard intervals, submit the claim for manual review with detailed clinical justification to prevent automatic rejection.
Provider Fee$120.00
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
Supporting documentation is required for manual review if more frequent treatments are necessary.
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