Cardiovascular diagnostic & therapeutic procedures OHIP billing codes

These are the most commonly used Cardiovascular diagnostic & therapeutic procedures OHIP billing codes. To find other billing codes search the OHIP fee schedule here .


All codes

Code Description Amount
Z459 Vascular cannulation - Arterial puncture $10.20
G268 Vascular cannulation - Cannulation of artery for pressure measurements including cut down as necessary $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 $31.25
G270 Vascular cannulation - Intraosseous infusion $23.90
G309 Vascular cannulation - Umbilical artery catheterization (including obtaining of blood sample) $45.55
G480 Venipuncture - infant $9.90
G482 Venipuncture - child $7.35
G489 Venipuncture - adolescent or adult $3.54
G483 Venipuncture - Therapeutic venisection $9.70
G282 Venipuncture - Umbilical vein catheterization (including obtaining of blood sample) $19.90
Z438 Venipuncture - Insertion of Swan-Ganz catheter (not included in anaesthetic, respiratory or critical care benefits) $162.50
Z456 Venipuncture - Insertion of implantable central venous catheter $168.00
Z457 Venipuncture - Surgical removal or repair of implanted central venous catheter $48.90
Z446 Venipuncture - Insertion of subcutaneous venous access reservoir $168.00
Z447 Venipuncture - Insertion of subcutaneous venous access reservoir - revision same site $74.05
E684 - Venipuncture Insertion of subcutaneous venous access reservoir when performed in infant or child, to Z456 or Z446 … add $214.10
G271 Anticoagulant supervision - long-term, telephone advice … per month $12.75
G275 Exchange transfusion $205.45
G280 Intra-uterine fetal transfusion - initial or subsequent $186.90
G276 Donor cell pheresis (platelets or leukocytes) $15.35
G277 Therapeutic plasma exchange - initial and repeat, to a maximum of 5 per year … each $82.00
G278 Therapeutic plasma exchange - more than 5 per year … each $41.80
G272 Manual plasmapheresis (see General Preamble GP12) $0.00
G287 LDL apheresis - initial and repeat, to a maximum of 5 per year … each $82.00
G290 LDL apheresis - more than 5 per year … each $41.80
Z437 Cardioversion (electrical and/or chemical) - maximum of three sessions per patient, per day $92.45
Z439 Right heart - pressures only $166.90
Z440 Left heart - retrograde aortic $208.50
Z441 Left heart - transeptal $297.15
G296 Dye dilution densitometry and/or thermal dilution studies - benefit covers all studies on same day in cath lab $110.95
G285 Dye dilution densitometry when rendered in a cardiac catheter lab using a Swan-Ganz catheter, to Z438 … add $32.90
G286 Thermal dilution studies when rendered in a cardiac catheter lab using a Swan-Ganz catheter, to Z438 … add $32.90
G299 Oximetry studies by catheterization $110.95
G289 Fick determination $110.95
G300 Metabolic studies, e.g. coronary sinus lactate and pyruvate determinations $110.95
G301 Exercise studies during catheterization $122.40
G306 Isotope studies during cardiac catheterization $110.95
G305 Intracardiac phonocardiography $122.40
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 $117.55
G509 Bypass graft angiogram - maximum one per bypass graft $80.40
Z442 Selective coronary catheterization - both arteries $286.75
G263 Selective coronary catheterization - with other drug interventional studies … add $96.45
Z434 Transluminal coronary angioplasty - one or more sites on a single major vessel $467.05
G262 Transluminal coronary angioplasty - each additional major vessel … add $210.40
G298 Coronary angioplasty stent, per stent $78.95
Z448 Percutaneous angioplasty - aortic valve, pulmonic valve, pulmonary branch stenosis $487.90
Z449 Percutaneous angioplasty - for coarctation of aorta $415.15
Z460 Percutaneous angioplasty - closure of patent ductus arteriosis with umbrella $377.55
Z461 Percutaneous angioplasty - mitral valvuloplasty for rheumatic stenosis $566.20
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 $231.65
G261 Arrhythmia induction - atrial $331.05
G259 Arrhythmia induction - ventricular $383.30
G176 Electrophysiologic Pacing, Mapping and Ablation - atrial pacing and mapping $334.25
G177 Electrophysiologic Pacing, Mapping and Ablation - ventricular pacing and mapping $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 $690.25
G178 Electrophysiologic pacing, mapping and ablation - catheter ablation therapy $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 $111.20
Z424 Electrophysiologic pacing, mapping and ablation - transseptal left heart catheterization, with or without pressure measurements, with or without dye injection $297.15
Z422 Electrophysiologic pacing, mapping and ablation - retrograde aortic left heart catheterization with or without pressure measurement(s) $210.55
G115 External cardiac pacing (temporary transthoracic) once per 24-hour period $46.30
G366 Testing of arrhythmia inducibility by acute administration of anti-arrhythmic or adrenergic drugs to a maximum of 2 per 24 hours $148.50
Z443 Insertion of temporary endocardial electrode $154.10
Z431 Repositioning of temporary endocardial electrode $64.25
G288 Endomyocardial Biopsy - transvascular, right or left $200.00
G314 Tilt table testing of vasomotor syncope - to include arterial cannulation, provocative and blocking drugs, physician must be continually present $112.00