What are the billing rules for G260A?

Payable only for acute pain (sudden onset, expected to resolve within 6 weeks), including peri- or post-operative pain, and only when the block lasts more than 4 hours (J70). Not payable when you give the block with your own procedure; a post-operative pain block you give with your own procedure is G224 instead (J70). Other blocks of nerves in the same distribution aren't payable with G260. A block outside that distribution, such as a sciatic block with a 3-in-1 block, is payable (J71).

What is G260A often billed with?

G279 percutaneous nerve block catheter insertion, except for a continuous 3-in-1 block (J72). E412/E413 or E409/E410 when non-elective and done after hours (GP104).

< Billing codes

Billing code

G260A — Major Plexus Block

Q: What is OHIP billing code G260A?

Major plexus block (brachial, lumbar, sacral, deep cervical, or 3-in-1) for acute pain lasting more than 4 hours.

Major plexus block

Bill G260 for a brachial, lumbar, sacral, deep cervical or 3-in-1 plexus block for acute pain lasting over 4 hours.

Watch for: Other blocks in the same plexus distribution aren't payable with it; with your own procedure, bill G224 instead.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$80.00	$0.00	$0.00	$0.00	$0.00

Code: G260A
Description: Major Plexus Block
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

Major plexus block (brachial, lumbar, sacral, deep cervical, or 3-in-1) for acute pain lasting more than 4 hours.

What it covers

G260 is a major plexus block for acute pain management: brachial plexus, lumbar plexus, sacral plexus, deep cervical plexus, or a combined 3-in-1 block, which must include the femoral, obturator and lateral femoral cutaneous nerves (J71).

If you block 2 or more nerves within one plexus distribution individually (for example radial, median and ulnar), only G260 is payable (J71).

Billing rules

Payable only for acute pain (sudden onset, expected to resolve within 6 weeks), including peri- or post-operative pain, and only when the block lasts more than 4 hours (J70).
Not payable when you give the block with your own procedure; a post-operative pain block you give with your own procedure is G224 instead (J70).
Other blocks of nerves in the same distribution aren't payable with G260. A block outside that distribution, such as a sciatic block with a 3-in-1 block, is payable (J71).
For a continuous 3-in-1 block with catheter insertion (G279), G260 isn't payable; bill G060 with G279 instead (J72).
Overall maximum of 8 nerve blocks per patient per day (a bilateral block counts as two). Bilateral procedures pay once per region per side (J70).
Image guidance fees (nerve stimulation, ultrasound, fluoroscopy) aren't payable in addition (J70).
Listed as a major invasive procedure for after-hours premiums: when non-elective (or delayed by an emergency) and started in the evening, on a weekend or holiday, or at night, add E412 (+20%) or E413 (+40%) as an Emergency Department Physician billing H codes, or E409 (+50%) or E410 (+75%) otherwise (GP103, GP104).

Often billed with

G279 percutaneous nerve block catheter insertion, except for a continuous 3-in-1 block (J72).
E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: G060, G061, G279, G224, G214, G243

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Nerve Blocks for Acute Pain Management, page J71; preamble J70.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing