OHIP Billing Codes

Specialty: Cardiovascular

Code	Description	Anes	Fee
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G115	External cardiac pacing (temporary transthoracic) once per 24-hour period	0	47.25
G176	Electrophysiologic Pacing, Mapping and Ablation - atrial pacing and mapping	0	340.95
G177	Electrophysiologic Pacing, Mapping and Ablation - ventricular pacing and mapping	0	425.2
G178	Electrophysiologic pacing, mapping and ablation - catheter ablation therapy	0	359.15
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	113.45
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	236.3
G259	Arrhythmia induction - ventricular	0	391
G261	Arrhythmia induction - atrial	0	337.7
G268	Vascular cannulation - Cannulation of artery for pressure measurements including cut down as necessary	0	31.9
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	31.9
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G270	Vascular cannulation - Intraosseous infusion	0	24.4
G271	Anticoagulant supervision - long-term, telephone advice - per month	0	13
G275	Exchange transfusion	0	209.6
G276	Donor cell pheresis (platelets or leukocytes)	0	15.65
G277	Therapeutic plasma exchange - initial and repeat, to a maximum of 5 per year - each	0	83.65
G278	Therapeutic plasma exchange - more than 5 per year - each	0	42.65
G280	Intra-uterine fetal transfusion - initial or subsequent	0	190.65
G282	Venipuncture - Umbilical vein catheterization (including obtaining of blood sample)	0	20.3
G287	LDL apheresis - initial and repeat, to a maximum of 5 per year - each	0	83.65
G288	Endomyocardial Biopsy - transvascular, right or left	0	204
G289	Fick determination	0	113.2
G290	LDL apheresis - more than 5 per year - each	0	42.65
G296	Dye dilution densitometry and/or thermal dilution studies - benefit covers all studies on same day in cath lab	0	113.2
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	119.9
G298	Coronary angioplasty stent, per stent	0	80.55
G299	Oximetry studies by catheterization	0	113.2
G300	Metabolic studies, e.g. coronary sinus lactate and pyruvate determinations	0	113.2
G301	Exercise studies during catheterization	0	124.85
G305	Intracardiac phonocardiography	0	124.85
G306	Isotope studies during cardiac catheterization	0	113.2
G309	Vascular cannulation - Umbilical artery catheterization (including obtaining of blood sample)	0	46.45
G314	Tilt table testing of vasomotor syncope - to include arterial cannulation, provocative and blocking drugs, physician must be continually present	0	114.25
G366	Testing of arrhythmia inducibility by acute administration of anti-arrhythmic or adrenergic drugs to a maximum of 2 per 24 hours	0	151.5
G480	Venipuncture - infant	0	10.1
G482	Venipuncture - child	0	7.5
G483	Venipuncture - Therapeutic venisection	0	9.9
G489	Venipuncture - adolescent or adult	0	3.61
G509	Bypass graft angiogram - maximum one per bypass graft	0	82
Z422	Electrophysiologic pacing, mapping and ablation - retrograde aortic left heart catheterization with or without pressure measurement(s)	6	214.8
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	704.1
Z424	Electrophysiologic pacing, mapping and ablation - transseptal left heart catheterization, with or without pressure measurements, with or without dye injection	6	303.1
Z431	Repositioning of temporary endocardial electrode	6	65.55
Z434	Transluminal coronary angioplasty - one or more sites on a single major vessel	6	476.45
	G262 - each additional major vesse - add		214.65
Z437	Cardioversion (electrical and/or chemical) - maximum of three sessions per patient, per day	6	94.3
Z438	Venipuncture - Insertion of Swan-Ganz catheter (not included in anaesthetic, respiratory or critical care benefits)	6	165.75
Z439	Right heart - pressures only	6	170.25
	G285 - dye dilution densitometry when rendered in a cardiac catheter lab using a Swan-Ganz catheter - add		33.55
	G286 - thermal dilution studies when rendered in a cardiac catheter lab using a Swan-Ganz catheter - add		33.55
Z440	Left heart - retrograde aortic	6	212.7
	G285 - dye dilution densitometry when rendered in a cardiac catheter lab using a Swan-Ganz catheter - add		33.55
	G286 - thermal dilution studies when rendered in a cardiac catheter lab using a Swan-Ganz catheter - add		33.55
Z441	Left heart - transeptal	7	303.1
	G285 - dye dilution densitometry when rendered in a cardiac catheter lab using a Swan-Ganz catheter - add		33.55
	G286 - thermal dilution studies when rendered in a cardiac catheter lab using a Swan-Ganz catheter - add		33.55
Z442	Selective coronary catheterization - both arteries	6	292.5
	G263 - with other drug interventional studies - add		98.4
Z443	Insertion of temporary endocardial electrode	6	157.2
Z446	Venipuncture - Insertion of subcutaneous venous access reservoir	6	171.4
	E684 - when performed in infant or child - add		218.4
Z447	Venipuncture - Insertion of subcutaneous venous access reservoir - revision same site	6	75.55
Z448	Percutaneous angioplasty - aortic valve, pulmonic valve, pulmonary branch stenosis	20	497.7
Z449	Percutaneous angioplasty - for coarctation of aorta	20	423.5
Z456	Venipuncture - Insertion of implantable central venous catheter	6	171.4
	E684 - when performed in infant or child - add		218.4
Z457	Venipuncture - Surgical removal or repair of implanted central venous catheter	6	49.9
Z460	Percutaneous angioplasty - closure of patent ductus arteriosis with umbrella	20	385.15
Z461	Percutaneous angioplasty - mitral valvuloplasty for rheumatic stenosis	0	577.6

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