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	46.3
G176	Electrophysiologic Pacing, Mapping and Ablation - atrial pacing and mapping	0	334.25
G177	Electrophysiologic Pacing, Mapping and Ablation - ventricular pacing and mapping	0	416.8
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	111.2
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
G259	Arrhythmia induction - ventricular	0	383.3
G261	Arrhythmia induction - atrial	0	331.05
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
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G270	Vascular cannulation - Intraosseous infusion	0	23.9
G271	Anticoagulant supervision - long-term, telephone advice - per month	0	12.75
G275	Exchange transfusion	0	205.45
G276	Donor cell pheresis (platelets or leukocytes)	0	15.35
G277	Therapeutic plasma exchange - initial and repeat, to a maximum of 5 per year - each	0	82
G278	Therapeutic plasma exchange - more than 5 per year - each	0	41.8
G280	Intra-uterine fetal transfusion - initial or subsequent	0	186.9
G282	Venipuncture - Umbilical vein catheterization (including obtaining of blood sample)	0	19.9
G287	LDL apheresis - initial and repeat, to a maximum of 5 per year - each	0	82
G288	Endomyocardial Biopsy - transvascular, right or left	0	200
G289	Fick determination	0	110.95
G290	LDL apheresis - more than 5 per year - each	0	41.8
G296	Dye dilution densitometry and/or thermal dilution studies - benefit covers all studies on same day in cath lab	0	110.95
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
G298	Coronary angioplasty stent, per stent	0	78.95
G299	Oximetry studies by catheterization	0	110.95
G300	Metabolic studies, e.g. coronary sinus lactate and pyruvate determinations	0	110.95
G301	Exercise studies during catheterization	0	122.4
G305	Intracardiac phonocardiography	0	122.4
G306	Isotope studies during cardiac catheterization	0	110.95
G309	Vascular cannulation - Umbilical artery catheterization (including obtaining of blood sample)	0	45.55
G314	Tilt table testing of vasomotor syncope - to include arterial cannulation, provocative and blocking drugs, physician must be continually present	0	112
G366	Testing of arrhythmia inducibility by acute administration of anti-arrhythmic or adrenergic drugs to a maximum of 2 per 24 hours	0	148.5
G480	Venipuncture - infant	0	9.9
G482	Venipuncture - child	0	7.35
G483	Venipuncture - Therapeutic venisection	0	9.7
G489	Venipuncture - adolescent or adult	0	3.54
G509	Bypass graft angiogram - maximum one per bypass graft	0	80.4
Z422	Electrophysiologic pacing, mapping and ablation - retrograde aortic left heart catheterization with or without pressure measurement(s)	6	210.55
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
Z424	Electrophysiologic pacing, mapping and ablation - transseptal left heart catheterization, with or without pressure measurements, with or without dye injection	6	297.15
Z431	Repositioning of temporary endocardial electrode	6	64.25
Z434	Transluminal coronary angioplasty - one or more sites on a single major vessel	6	467.05
Z437	Cardioversion (electrical and/or chemical) - maximum of three sessions per patient, per day	6	92.45
Z438	Venipuncture - Insertion of Swan-Ganz catheter (not included in anaesthetic, respiratory or critical care benefits)	6	162.5
Z439	Right heart - pressures only	6	166.9
Z440	Left heart - retrograde aortic	6	208.5
Z441	Left heart - transeptal	7	297.15
Z442	Selective coronary catheterization - both arteries	6	286.75
Z443	Insertion of temporary endocardial electrode	6	154.1
Z446	Venipuncture - Insertion of subcutaneous venous access reservoir	6	168
Z447	Venipuncture - Insertion of subcutaneous venous access reservoir - revision same site	6	85.25
Z448	Percutaneous angioplasty - aortic valve, pulmonic valve, pulmonary branch stenosis	20	487.9
Z449	Percutaneous angioplasty - for coarctation of aorta	20	415.15
Z456	Venipuncture - Insertion of implantable central venous catheter	6	193.4
Z457	Venipuncture - Surgical removal or repair of implanted central venous catheter	6	48.9
Z460	Percutaneous angioplasty - closure of patent ductus arteriosis with umbrella	20	377.55
Z461	Percutaneous angioplasty - mitral valvuloplasty for rheumatic stenosis	0	566.2

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