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G269
G269 – Cannulation of central vein for pressure measurements or for feeding line
OHIP Diagnostic & Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use G269 for the percutaneous insertion of a central venous catheter specifically for central venous pressure (CVP) monitoring.
- Use G269 for the placement of a peripherally inserted central catheter (PICC) or other central venous access device intended for long-term parenteral nutrition.
- Use G269 when performing a standalone central line insertion that does not involve the complex hemodynamic monitoring associated with Z439 or Z438.
Common Pitfalls
- Billing G269 alongside Z439 or Z438 will trigger an automatic rejection as these procedures are considered inclusive of the central venous access.
- Attempting to bill G269 for a peripheral intravenous line or a midline catheter is an audit risk, as the code specifically requires central venous cannulation.
- Failing to link the appropriate after-hours premium (E409, E410, E412, or E413) when the procedure meets the non-elective criteria results in significant lost revenue.
Billing Tips
- Ensure the procedure is documented as a central venous cannulation to distinguish it from peripheral access, which is not eligible for this fee.
- Always append the correct after-hours premium (E409-E413) if the procedure is non-elective and performed outside standard business hours to maximize the procedural reimbursement.
Provider Fee$31.25
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Procedure
Code Classes
Diagnostic and Therapeutic Procedures
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