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G262
G262 – Transluminal coronary angioplasty - each additional major vessel
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This service is an add-on to Z434 (Transluminal coronary angioplasty - one or more sites on a single major vessel) and is claimed for each additional major vessel that undergoes angioplasty during the same operative session. As a major invasive procedure, it may be eligible for after-hours and trauma premiums under specific conditions.
When to Use
- Use G262 when performing angioplasty on a second or third major coronary artery during the same session as the primary Z434 procedure.
- Apply G262 when treating a distinct major vessel that requires separate intervention beyond the initial vessel covered by Z434.
Common Pitfalls
- Billing G262 for multiple lesions within the same major vessel, which is already covered under the base Z434 code.
- Failing to link G262 to the primary Z434 code on the same claim, leading to automatic rejection by the Ministry.
- Incorrectly applying trauma premiums (E420) alongside after-hours premiums (E409/E410), as these are mutually exclusive.
Billing Tips
- Ensure the operative report clearly identifies each major vessel treated to justify the number of G262 units claimed.
- If the specific anatomy or vessel count is uncertain at the start of the procedure, utilize G297 at 50% as per the Schedule of Benefits.
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