What is OHIP billing code G268?

G268 is "Cannulation of artery for pressure measurements", an OHIP Diagnostic & Therapeutic Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does G268 pay?

The current OHIP fee for G268 is $31.25, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill G268 to OHIP?

G268 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates G268 claims against the Schedule of Benefits rules before submission.

All codes

G268

G268 – Cannulation of artery for pressure measurements

OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

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Cannulation of an artery for pressure measurements, including cut down as necessary. This service is a diagnostic and therapeutic procedure under the cardiovascular category. It is not payable with several other vascular access and cannulation codes such as G249, G259, G261, G176, G177, G178, G288, `Z443, or Z440.

When to Use

Use G268 when performing an arterial line insertion specifically for hemodynamic monitoring or frequent blood gas sampling in an intensive care or operative setting.
Use G268 for the cannulation of an artery via cut-down or percutaneous approach when the primary clinical requirement is continuous pressure measurement.

Common Pitfalls

Billing G268 concurrently with G249, G259, or G261 will result in an automatic rejection due to the explicit restrictive bundling of vascular access codes.
Attempting to claim G268 alongside central venous catheterization codes like G176, G177, or G178 is a common audit trigger as these are considered mutually exclusive vascular access procedures.
Failure to recognize that G268 is a procedural code means it cannot be billed with a standard office visit fee unless the visit is for a separate, unrelated clinical issue.

Billing Tips

If performing the procedure after hours, ensure you apply the correct premium (E409/E410 for non-ED physicians or E412/E413 for ED physicians) to maximize the procedural reimbursement.
Always verify that the arterial cannulation is not being claimed as part of a more comprehensive surgical package that already includes vascular access in its fee definition.

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Provider Fee$31.25

Effective: April 1, 2025

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