OHIP Billing Codes

Specialty: Cardiovascular

Code Description Fee
G115 External cardiac pacing (temporary transthoracic) once per 24-hour period 46.3
G176 Electrophysiologic Pacing, Mapping and Ablation - atrial pacing and mapping 334.25
G177 Electrophysiologic Pacing, Mapping and Ablation - ventricular pacing and mapping 416.8
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 111.2
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 231.65
G259 Arrhythmia induction - ventricular 383.3
G261 Arrhythmia induction - atrial 331.05
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

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G270 Vascular cannulation - Intraosseous infusion 23.9
G271 Anticoagulant supervision - long-term, telephone advice - per month 12.75
G275 Exchange transfusion 205.45
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
G278 Therapeutic plasma exchange - more than 5 per year - each 41.8
G280 Intra-uterine fetal transfusion - initial or subsequent 186.9
G282 Venipuncture - Umbilical vein catheterization (including obtaining of blood sample) 19.9
G287 LDL apheresis - initial and repeat, to a maximum of 5 per year - each 82
G288 Endomyocardial Biopsy - transvascular, right or left 200
G289 Fick determination 110.95
G290 LDL apheresis - more than 5 per year - each 41.8
G296 Dye dilution densitometry and/or thermal dilution studies - benefit covers all studies on same day in cath lab 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 117.55
G298 Coronary angioplasty stent, per stent 78.95
G299 Oximetry studies by catheterization 110.95
G300 Metabolic studies, e.g. coronary sinus lactate and pyruvate determinations 110.95
G301 Exercise studies during catheterization 122.4
G305 Intracardiac phonocardiography 122.4
G306 Isotope studies during cardiac catheterization 110.95
G309 Vascular cannulation - Umbilical artery catheterization (including obtaining of blood sample) 45.55
G314 Tilt table testing of vasomotor syncope - to include arterial cannulation, provocative and blocking drugs, physician must be continually present 112
G366 Testing of arrhythmia inducibility by acute administration of anti-arrhythmic or adrenergic drugs to a maximum of 2 per 24 hours 148.5
G480 Venipuncture - infant 9.9
G482 Venipuncture - child 7.35
G483 Venipuncture - Therapeutic venisection 9.7
G489 Venipuncture - adolescent or adult 3.54
G509 Bypass graft angiogram - maximum one per bypass graft 80.4
Z422 Electrophysiologic pacing, mapping and ablation - retrograde aortic left heart catheterization with or without pressure measurement(s) 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 690.25
Z424 Electrophysiologic pacing, mapping and ablation - transseptal left heart catheterization, with or without pressure measurements, with or without dye injection 297.15
Z431 Repositioning of temporary endocardial electrode 64.25
Z434 Transluminal coronary angioplasty - one or more sites on a single major vessel 467.05
Z437 Cardioversion (electrical and/or chemical) - maximum of three sessions per patient, per day 92.45
Z438 Venipuncture - Insertion of Swan-Ganz catheter (not included in anaesthetic, respiratory or critical care benefits) 162.5
Z439 Right heart - pressures only 166.9
Z440 Left heart - retrograde aortic 208.5
Z441 Left heart - transeptal 297.15
Z442 Selective coronary catheterization - both arteries 286.75
Z443 Insertion of temporary endocardial electrode 154.1
Z446 Venipuncture - Insertion of subcutaneous venous access reservoir 168
Z447 Venipuncture - Insertion of subcutaneous venous access reservoir - revision same site 85.25
Z448 Percutaneous angioplasty - aortic valve, pulmonic valve, pulmonary branch stenosis 487.9
Z449 Percutaneous angioplasty - for coarctation of aorta 415.15
Z456 Venipuncture - Insertion of implantable central venous catheter 193.4
Z457 Venipuncture - Surgical removal or repair of implanted central venous catheter 48.9
Z460 Percutaneous angioplasty - closure of patent ductus arteriosis with umbrella 377.55
Z461 Percutaneous angioplasty - mitral valvuloplasty for rheumatic stenosis 566.2

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