OHIP Billing Codes

Specialty: Cardiovascular

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Code	Description	Anes	Fee
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Angiography
G297	Angiograms (only two angiograms may be billed - one per right heart catheterization and one per left heart catheterization) irrespective of the number of chambers injected	0	$117.55
G509	Bypass graft angiogram - maximum one per bypass graft	0	$80.40
G298	Coronary angioplasty stent, per stent	0	$78.95
Z448	Percutaneous angioplasty - aortic valve, pulmonic valve, pulmonary branch stenosis	20	$487.90
Z460	Percutaneous angioplasty - closure of patent ductus arteriosis with umbrella	20	$377.55
Z449	Percutaneous angioplasty - for coarctation of aorta	20	$415.15
Z461	Percutaneous angioplasty - mitral valvuloplasty for rheumatic stenosis	0	$566.20
Z442	Selective coronary catheterization - both arteries	6	$286.75
Z434	Transluminal coronary angioplasty - one or more sites on a single major vessel	6	$467.05
Anticoagulant Supervision - Long-Term Telephone Advice
G271	Anticoagulant supervision - long-term, telephone advice - per month	0	$12.75
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Blood Transfusions
G276	Donor cell pheresis (platelets or leukocytes)	0	$15.35
G275	Exchange transfusion	0	$205.45
G280	Intra-uterine fetal transfusion - initial or subsequent	0	$186.90
G287	LDL apheresis - initial and repeat, to a maximum of 5 per year - each	0	$82.00
G290	LDL apheresis - more than 5 per year - each	0	$41.80
G277	Therapeutic plasma exchange - initial and repeat, to a maximum of 5 per year - each	0	$82.00
G278	Therapeutic plasma exchange - more than 5 per year - each	0	$41.80
Cardioversion
Z437	Cardioversion (electrical and/or chemical) - maximum of three sessions per patient, per day	6	$92.45
Complete Study - 1 and 2 dimensions
G571	Professional component	0	$96.20
	G400 Physician-in-charge - 1st day		$223.10
G570	Technical component	0	$118.95
	G400 Physician-in-charge - 1st day		$223.10
COVID-19 Immunization
G593	COVID-19 vaccine	0	$13.00
Electrophysiology / Arrhythmias
G261	Arrhythmia induction - atrial	0	$331.05
G259	Arrhythmia induction - ventricular	0	$383.30
G249	Electrophysiologic measurements (includes one or all of sinus node recovery times, HIS bundle measurements, conduction times and/or refractory periods), includes percutaneous access and insertion of electrodes	0	$231.65
G176	Electrophysiologic Pacing, Mapping and Ablation - atrial pacing and mapping	0	$334.25
G178	Electrophysiologic pacing, mapping and ablation - catheter ablation therapy	0	$352.05
G179	Electrophysiologic pacing, mapping and ablation - repeat pacing, mapping and catheter ablation for additional distinct arrhythmia(s) without the use of an advanced mapping system	0	$111.20
Z422	Electrophysiologic pacing, mapping and ablation - retrograde aortic left heart catheterization with or without pressure measurement(s)	6	$210.55
Z424	Electrophysiologic pacing, mapping and ablation - transseptal left heart catheterization, with or without pressure measurements, with or without dye injection	6	$297.15
G177	Electrophysiologic Pacing, Mapping and Ablation - ventricular pacing and mapping	0	$416.80
Z423	Electrophysiologic Pacing, Mapping and Ablation - with the use of an advanced nonfluoroscopic computerized mapping and navigation system ("advanced mapping system") and/or procedure duration >4 hours	10	$690.25
G288	Endomyocardial Biopsy - transvascular, right or left	0	$200.00
G115	External cardiac pacing (temporary transthoracic) once per 24-hour period	0	$46.30
Z443	Insertion of temporary endocardial electrode	6	$154.10
Z431	Repositioning of temporary endocardial electrode	6	$64.25
G366	Testing of arrhythmia inducibility by acute administration of anti-arrhythmic or adrenergic drugs to a maximum of 2 per 24 hours	0	$148.50
G314	Tilt table testing of vasomotor syncope - to include arterial cannulation, provocative and blocking drugs, physician must be continually present	0	$112.00
Haemodynamic / Flow / Metabolic Studies
G296	Dye dilution densitometry and/or thermal dilution studies - benefit covers all studies on same day in cath lab	0	$110.95
G301	Exercise studies during catheterization	0	$122.40
G289	Fick determination	0	$110.95
G305	Intracardiac phonocardiography	0	$122.40
G306	Isotope studies during cardiac catheterization	0	$110.95
Z440	Left heart - retrograde aortic	6	$208.50
Z441	Left heart - transeptal	7	$297.15
G300	Metabolic studies, e.g. coronary sinus lactate and pyruvate determinations	0	$110.95
G299	Oximetry studies by catheterization	0	$110.95
Z439	Right heart - pressures only	6	$166.90
Vascular Cannulation
G268	Vascular cannulation - Cannulation of artery for pressure measurements including cut down as necessary	0	$31.25
G269	Vascular cannulation - Cannulation of central vein for pressure measurements or for feeding line - not to be billed with right heart catheterization (Z439) or with Swan-Ganz catheter insertion	0	$31.25
G270	Vascular cannulation - Intraosseous infusion	0	$23.90
G309	Vascular cannulation - Umbilical artery catheterization (including obtaining of blood sample)	0	$45.55
Venipuncture
G489	Venipuncture - adolescent or adult	0	$3.54
G482	Venipuncture - child	0	$7.35
G480	Venipuncture - infant	0	$9.90
Z456	Venipuncture - Insertion of implantable central venous catheter	6	$193.40
Z446	Venipuncture - Insertion of subcutaneous venous access reservoir	6	$168.00
Z447	Venipuncture - Insertion of subcutaneous venous access reservoir - revision same site	6	$85.25
Z438	Venipuncture - Insertion of Swan-Ganz catheter (not included in anaesthetic, respiratory or critical care benefits)	6	$162.50
Z457	Venipuncture - Surgical removal or repair of implanted central venous catheter	6	$48.90
G483	Venipuncture - Therapeutic venisection	0	$9.70
G282	Venipuncture - Umbilical vein catheterization (including obtaining of blood sample)	0	$19.90

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