Billing code
G259A — Arrhythmia induction – ventricular
Ventricular arrhythmia induction
Bill G259 for ventricular arrhythmia induction, including programmed stimulation, drug provocation and termination, once per patient per 24 hours.
Watch for: Not payable with critical care codes G521, G522, G523, G395 or G391; G268 arterial cannulation isn't payable with it.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $383.30 | $0.00 | $191.65 | $0.00 | $0.00 |
- Code
- G259A
- Description
- Arrhythmia induction – ventricular
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Ventricular arrhythmia induction, including programmed electrical stimulation, drug provocation and termination if needed. Once per patient per 24 hours.
What it covers
G259 is ventricular arrhythmia induction. It includes programmed electrical stimulation, drug provocation and termination of the arrhythmia if necessary (J12).
It is marked #, so premises and equipment are hospital funded (J1).
Billing rules
- Once per patient per 24 hours (J12).
- Not payable with G521, G522, G523, G395 or G391 (J12).
- G366 is not payable for isoproterenol used for arrhythmia induction with G261 and/or G259 (J13).
- G268 arterial cannulation is not payable with G259 (J7).
Often billed with
- G249 electrophysiologic measurements (J12).
- G177 ventricular pacing and mapping (J12).
Common rejections
- ADH: OHIP's message is 'Cannot be billed together': G259 isn't payable with G521, G522, G523, G395 or G391 (J12).
Related codes: G261, G249, G177, G178, G366, Z423
Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Cardiovascular (Electrophysiology/Arrhythmias), page J12.
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