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G915 – Percutaneous diagnostic lumbar facet medial branch block - each additional site

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

This service represents the injection of each additional site for a percutaneous diagnostic lumbar facet medial branch block using ultrasound guidance. It is billed in addition to G914 for the first site. As per the commentary on page , ultrasound images must be of sufficient quality to clearly identify the injection site and needle placement at the junction of the transverse process and superior articular process.
Ultrasound images must be of sufficient quality to clearly identify the injection site and needle placement at the junction of the transverse process and superior articular process.

G915 is limited to a maximum of 7 services per patient per day.

The parent code G914 is only eligible for payment when a fluoroscopically guided facet injection has been rendered for the same site(s) within the previous 12 month period by the same physician.

The parent code G914 is limited to 6 services per patient per 12 month period. If, in the opinion of the treating physician, more frequent services are necessary, the physician may obtain written prior authorization from the MOH.

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