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G912 – Lumbar/Sacral, first site

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

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Percutaneous diagnostic injections with fluoroscopic guidance - facet medial branch block, facet joint injection or sacral lateral branch block. G912: Lumbar/Sacral, first site. For each additional site, see G913.
Service requires the use of fluoroscopic guidance.
Usage limits
[6, "12_months", "per_patient", "Limited to a total of 6 services per 12 month period for any combination of G910, G911, G912, or G914. If more frequent services are necessary, written prior authorization from the MOH is required."]
G910G911G913G914

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