Billing code
G232A — Percutaneous Spheno-palatine Ganglion Block With Fluoroscopic Guidance
Sphenopalatine ganglion block, fluoroscopy
Bill G232 for a percutaneous sphenopalatine ganglion block done with fluoroscopic guidance.
Watch for: G921 (transnasal topical block) can't be billed with G232 for the same patient the same day.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $150.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- G232A
- Description
- Percutaneous Spheno-palatine Ganglion Block With Fluoroscopic Guidance
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Percutaneous spheno-palatine ganglion block done with fluoroscopic guidance.
What it covers
G232 is a percutaneous spheno-palatine ganglion block with fluoroscopic guidance, listed under ganglion/plexus injections (J78).
Injections in this section include the contrast, medication and/or other solution unless listed separately (J74).
Billing rules
- G921 (transnasal topical SPG block) is not payable with G232 for the same patient the same day (J78).
- Add E445 (+50%) when alcohol or other sclerosing solutions are used (J78).
- Fees for obtaining or interpreting images for guidance are not payable on top of the injection (J74).
- If you do more than one procedure from this section for the same patient the same day, each is payable only if it diagnoses or treats a separate condition (J74).
- Injection services listed elsewhere are not payable in addition for the same injection (J74).
- Document the procedure (with images of final needle placement when image guidance is used) and, for a diagnostic injection, its purpose and whether the response was positive or negative (J74).
Often billed with
- E445 when alcohol or a sclerosing solution is used (J78).
Common rejections
- ADH: OHIP describes this as 'Cannot be billed together': G921 and G232 are not payable for the same patient the same day (J78).
Related codes: G921, E445, G217, G233, G227
Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Nerve Blocks - Interventional Pain Injections, page J78. Section rules J74.
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