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Billing code

G228A — Spinal: paravertebral, cervical, thoracic, lumbar, sacral, coccygeal

Paravertebral nerve block

Bill G228 for a paravertebral nerve block of cervical, thoracic, lumbar, sacral or coccygeal nerves; add G123 per extra block.

Watch for: G123 extra blocks are limited to 4; not payable with a procedure you perform, except G224.

Code

G228A

Description

Spinal: paravertebral, cervical, thoracic, lumbar, sacral, coccygeal

FHO+ basket

Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).

Effective date

Apr 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Paravertebral nerve block of cervical, thoracic, lumbar, sacral or coccygeal nerves. Each extra block is G123, up to 4.

What it covers

G228 is a paravertebral nerve block of the cervical, thoracic, lumbar, sacral or coccygeal nerves, listed under Nerve Blocks – Peripheral/Other Injections (J81).

Each additional paravertebral block is the add-on G123, to a maximum of 4 (J81).

Billing rules

• Bill G123 for each additional block, maximum 4 (J81).
• Overall maximum of 8 nerve blocks per patient per day for any combination; bilateral blocks count as two (J79).
• Not payable when you give the block in conjunction with a procedure you perform on the same patient (except G224) (J79).
• Imaging or nerve stimulation used for guidance is not payable in addition (J79).
• Other injection codes in the Schedule are not payable in addition for the same injection procedure (J79).
• Add E958 (+50%) when alcohol or other sclerosing solutions are used (J82).
• Payable in addition to a consultation or assessment (J3).
• FHO: G228 and G123 are Schedule 2 in-basket core services (Agreement Schedule 2, p.76–77).

Often billed with

• G123 for each additional paravertebral block (J81).
• E958 when a sclerosing solution is used (J82).

Related codes: G123, G231, G223, G238, G912, E958

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Nerve Blocks - Peripheral/Other Injections, page J81.

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