G279

PDF page 118 / GP104

GENERAL PREAMBLE
OTHER PREMIUMS
    Non-elective Surgical Procedures (including fractures or dislocations), Obstetrical Deliveries,
    Clinical Procedures Associated with Diagnostic Radiological Examinations, Ground Ambulance
    Transfer (K101), Air Ambulance Transfer (K111), Transport of Donor Organs (K102), Return
    Trip (K112), or one of the following Major Invasive Procedures:
    G060, G061, G062, G065, G066, G067, G068, G082, G083, G085, G090, G099, G117, G118,
    G119, G125, G176, G177, G178, G179, G211, G224, G246, G248, G249, G260, G261, G262,
    G263, G268, G269, G275, G277, G279, G280, G282, G287, G288, G290, G297, G298, G303,
    G309, G322, G323, G324, G330, G331, G336, G347, G348, G349, G356, G376, G379, G380,
    G509, J001 to J068, and X112 when required for intussusception

PDF page 486 / J72

DIAGNOSTIC AND THERAPEUTIC PROCEDURES
NERVE BLOCKS FOR ACUTE PAIN MANAGEMENT
                                                                                                               Fee
  G061 Peripheral nerve block, minor .................................................                          30.00
     Payment rules:
     1. The G061 service must consist of one of the following:
            a.a block of one of: ilioinguinal and/or iliohypogastric, genitofemoral, lateral femoral
              cutaneous, saphenous, occipital, supraorbital, infraorbital or glossopharyngeal nerve;
            b.an intercostal block;
            c.a superficial cervical plexus block;
            d.a transversus abdominis plane (TAP) block; or
            e.a paravertebral block – additional injection.
         2. G061 is limited to a maximum of 4 services per patient per physician per day.
         3. When a minor peripheral nerve block is rendered, additional blocks of one or more nerves
           within the same nerve distribution are not eligible for payment.
    Percutaneous nerve block catheter insertion for continuous infusion analgesia
# G279 Percutaneous nerve block catheter insertion..........................          80.00
     Payment rules:
     1. G279 is eligible for payment in addition to the applicable peripheral nerve or plexus block.
         2. G260 is not eligible for payment in addition to G279 when rendered for a continuous
           combined 3-in-1 block; G060 is eligible for payment in addition to G279 in this circumstance.
         3. No guidance (e.g. nerve stimulation, ultrasound) used for percutaneous nerve block catheter
           insertion is eligible for payment.
  G066 Intrapleural block ....................................................................                  55.00
  G067 Intrapleural block with continuous catheter.............................                                 80.00
# G068 Epidural blood patch ...............................................................                   125.00
# G065 Epidural blood patch injected through existing epidural
         catheter ..............................................................................                62.50
  G224 Nerve block by same physician performing the procedure.....                   15.55
     [Commentary:
     Refer to the Preamble of this section for additional information regarding G224.]
  G247 Hospital visits, to a maximum of 3 per patient per day ...........            30.10
     Payment rules:
     G247 is only eligible for payment to the physician most responsible, or to a physician
     substituting for the physician most responsible, for providing management and supervision of
     a:
         1. continuous catheter infusion for analgesia for a hospital in-patient; or
         2. lumbar sub-arachnoid drainage catheter placed in association with a surgical procedure
           where there is increased risk of spinal cord ischemia.
         [Commentary:
         G247 is not for visits to patients solely receiving intravenous pain management, such as patient
         controlled analgesia alone; a continuous nerve/plexus block or epidural/spinal catheter must be
         present for G247 to be payable.]

PDF page 487 / J73

Management and supervision of outpatient continuous nerve block infusion or outpatient
palliative epidural infusion
In addition to the common elements, the components of this service include the following specific
elements:
A. Monitoring the condition of a patient with respect to the continuous nerve block infusion.
B. Adjusting the dosage of the infusion therapy and, where appropriate, prescribing other therapy.
C. Discussion with, and providing advice and information to the patient, patient’s relative(s), patient
   representative or other caregiver(s), by telephone or otherwise, on matters related to the service,
   regardless of the identity of the person initiating the discussion.
D. Making arrangements for any related assessments, procedures or therapy and interpreting results
   as appropriate.
E. Providing premises, equipment, supplies and personnel for the specific elements.
   G064 Management and supervision of outpatient continuous nerve
          block infusion.......................................................... per day   20.00
          Payment rules:
          1. G064 is only eligible for payment when:
               a.rendered by the physician most responsible for the patient’s care or by a physician
                 substituting for that physician (the “substitute physician”); and
               b.the clinical decision(s) pertaining to the medical advice, direction or information provided
                 is formulated personally by the physician or substitute physician.
          2. G064 is only eligible for payment for a day when one or more components of element C are
            rendered in that day.
          3. G064 rendered on the same day as a consultation or visit by the same physician is not
            eligible for payment.
          4. G064 is limited to a maximum of 7 services per patient per G279 service.
          Medical record requirements:
          A dated summary of each contact must be recorded in the patient’s permanent medical record
          or the service is not eligible for payment.

PDF page 495 / J81

Percutaneous nerve block catheter insertion for continuous infusion analgesia
   G279 Percutaneous nerve block catheter insertion..........................          80.00
      Payment rules:
      1. G279 is eligible for payment in addition to the applicable peripheral nerve or plexus block.
          2. No guidance (e.g. nerve stimulation, ultrasound) used for percutaneous nerve block catheter
            insertion is eligible for payment.
          [Commentary:
          Maintenance of the catheter may constitute a subsequent visit subject to the limits as outlined
          on General Preamble GP43.]
   G218 Ilioinguinal and iliohypogastric nerves ....................................                  54.65
   G219 Infraorbital...............................................................................   34.20
   G220 Intercostal nerve .....................................................................       34.20
   G221     - for each additional one............................................... add              16.95
   G258 Intrapleural block (single injection) .........................................               44.25
   G257 Intrapleural block (with the introduction of a catheter for the
           purpose of continuous analgesia) ......................................                    77.25
   G225 Mental branch of mandibular nerve ........................................                    34.20
   G250 Maxillary or mandibular division of trigeminal nerve ...............                          75.10
     Obturator nerve
   G241 - unilateral.............................................................................     54.65
   G242 - bilateral...............................................................................    82.45
   G227 Other cranial nerve block........................................................             54.65
   G228 Paravertebral nerve block of cervical, thoracic or lumbar or
          sacral or coccygeal nerves.................................................                 34.10
   G123   - for each additional one (to a maximum of 4).............. add                             17.10
     Pudendal
   G229 - unilateral.............................................................................  54.65
   G240 - bilateral............................................................................... 82.45
      Note:
      For obstetrical continuous conduction anaesthesia, see P014 and P016, listed in the Obstetrics
      section of the Schedule.

Master, record 1992. Record Layout PDF, page 1.

G27920250401999999990000080000000000000000000000000000000000000000000000000

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.