Billing code
G236A — Percutaneous Lumbar, Thoracic Or Sacral Sympathetic Nerve Block With Fluoroscopic Guidance - Unilateral Or Bilateral
Lumbar or thoracic sympathetic block
Bill G236 for a fluoroscopy-guided lumbar, thoracic or sacral sympathetic nerve block, one or both sides, under one fee.
Watch for: Maximum one per day and 12 per 12 months without Ministry prior authorization.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $150.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- G236A
- Description
- Percutaneous Lumbar, Thoracic Or Sacral Sympathetic Nerve Block With Fluoroscopic Guidance - Unilateral Or Bilateral
- 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
Fluoroscopy-guided lumbar, thoracic or sacral sympathetic nerve block, one or both sides.
What it covers
G236 is a percutaneous lumbar, thoracic or sacral sympathetic nerve block with fluoroscopic guidance; one fee covers unilateral or bilateral (J78).
Billing rules
- Maximum one per patient per day and 12 per patient per 12 months; for more, get written prior authorization from the Ministry (J78).
- Same day as an epidural (G246, G117, G119, G918) only for a separate condition (J76).
- Same patient, same day as other nerve blocks or injections only if it diagnoses or treats a separate condition (J78).
- A sympathetic block that results from an epidural, spinal, plexus or peripheral nerve block is not billable as G920, G234 or G236 (J78).
- Fees for obtaining or interpreting guidance images (professional or technical) are not payable on top of these injections (J74).
- The chart must describe the procedure (or, with image guidance, keep images of final needle placement showing the site and/or contrast spread) and, for a diagnostic injection, its purpose and whether the response was positive or negative (J74).
Often billed with
- E445 when alcohol or other sclerosing solutions are used (J78).
Related codes: G920, G234, E445, G233, G246
Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Nerve Blocks - Interventional Pain Injections, page J78.
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