OHIP Billing Codes

Specialty: Cardiovascular

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Code Description Fee


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
G298 Coronary angioplasty stent, per stent $78.95
Z448 Percutaneous angioplasty - aortic valve, pulmonic valve, pulmonary branch stenosis $487.90
Z460 Percutaneous angioplasty - closure of patent ductus arteriosis with umbrella $377.55
Z449 Percutaneous angioplasty - for coarctation of aorta $415.15
Z461 Percutaneous angioplasty - mitral valvuloplasty for rheumatic stenosis $566.20
Z442 Selective coronary catheterization - both arteries $286.75
Z434 Transluminal coronary angioplasty - one or more sites on a single major vessel $467.05

Anticoagulant Supervision - Long-Term Telephone Advice

G271 Anticoagulant supervision - long-term, telephone advice - per month $12.75

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Blood Transfusions

G276 Donor cell pheresis (platelets or leukocytes) $15.35
G275 Exchange transfusion $205.45
G280 Intra-uterine fetal transfusion - initial or subsequent $186.90
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
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


Z437 Cardioversion (electrical and/or chemical) - maximum of three sessions per patient, per day $92.45

Complete Study - 1 and 2 dimensions

G571 Professional component $96.20
G570 Technical component $118.95

COVID-19 Immunization

G593 COVID-19 vaccine $13.00

Electrophysiology / Arrhythmias

G261 Arrhythmia induction - atrial $331.05
G259 Arrhythmia induction - ventricular $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 $231.65
G176 Electrophysiologic Pacing, Mapping and Ablation - atrial pacing and mapping $334.25
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
Z422 Electrophysiologic pacing, mapping and ablation - retrograde aortic left heart catheterization with or without pressure measurement(s) $210.55
Z424 Electrophysiologic pacing, mapping and ablation - transseptal left heart catheterization, with or without pressure measurements, with or without dye injection $297.15
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
G288 Endomyocardial Biopsy - transvascular, right or left $200.00
G115 External cardiac pacing (temporary transthoracic) once per 24-hour period $46.30
Z443 Insertion of temporary endocardial electrode $154.10
Z431 Repositioning of temporary endocardial electrode $64.25
G366 Testing of arrhythmia inducibility by acute administration of anti-arrhythmic or adrenergic drugs to a maximum of 2 per 24 hours $148.50
G314 Tilt table testing of vasomotor syncope - to include arterial cannulation, provocative and blocking drugs, physician must be continually present $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 $110.95
G301 Exercise studies during catheterization $122.40
G289 Fick determination $110.95
G305 Intracardiac phonocardiography $122.40
G306 Isotope studies during cardiac catheterization $110.95
Z440 Left heart - retrograde aortic $208.50
Z441 Left heart - transeptal $297.15
G300 Metabolic studies, e.g. coronary sinus lactate and pyruvate determinations $110.95
G299 Oximetry studies by catheterization $110.95
Z439 Right heart - pressures only $166.90

Vascular Cannulation

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


G489 Venipuncture - adolescent or adult $3.54
G482 Venipuncture - child $7.35
G480 Venipuncture - infant $9.90
Z456 Venipuncture - Insertion of implantable central venous catheter $193.40
Z446 Venipuncture - Insertion of subcutaneous venous access reservoir $168.00
Z447 Venipuncture - Insertion of subcutaneous venous access reservoir - revision same site $85.25
Z438 Venipuncture - Insertion of Swan-Ganz catheter (not included in anaesthetic, respiratory or critical care benefits) $162.50
Z457 Venipuncture - Surgical removal or repair of implanted central venous catheter $48.90
G483 Venipuncture - Therapeutic venisection $9.70
G282 Venipuncture - Umbilical vein catheterization (including obtaining of blood sample) $19.90

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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