G264

PDF page 494 / J80

Occipital nerve
 G264 - first block per day (maximum 1 per day to a maximum of 16
        first blocks per calendar year) ............................................                                   34.10
 G265   - each additional unilateral block following G264 per spinal
           level per day when G264 is payable in full (maximum 3 per
           day to a maximum of 48 additional blocks per calendar
           year).................................................................................                      17.10
 G291         - 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 ...........................................................                          19.85
 G292         - each additional unilateral block following G291 per spinal
                level per day when G291 is payable in full (maximum 3 per
                day) ..................................................................................                10.00
       Note:
       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.

Master, record 1978. Record Layout PDF, page 1.

G26420250401999999990000034100000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.