< Billing codes

Billing code

G262A

Angioplasty, each extra vessel

Bill G262 with coronary angioplasty (Z434) for each additional major coronary vessel treated.

Watch for: Bill it only with a payable Z434, or OHIP rejects it; stents are billed separately as G298.

Code

G262A

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

Add-on to coronary angioplasty (Z434) for each additional major coronary vessel treated.

What it covers

Transluminal coronary angioplasty is Z434 for one or more sites on a single major vessel; G262 is added for each additional major vessel (J11).

Coronary stents are billed separately as G298, per stent (J11).

Billing rules

• G262 is an add-on: bill it only with Z434 (J11).
• G262 is exempt from the 50% reduction for additional catheterization procedures at one sitting (J9).
• It is on the major invasive procedure list for after-hours premiums: add E409 (+50%) or E410 (+75%) when non-elective, or elective but delayed by an emergency into that period; ED physicians billing H codes use E412/E413 instead (GP103–GP104).
• J058 claimed for the same patient the same day as G298 (stent) is paid at nil (J11).

Often billed with

• Z434 angioplasty of the first major vessel (J11).
• G298 coronary stent, per stent (J11).
• E409/E410 after-hours premium when non-elective (GP104).

Common rejections

• ADF: The base procedure was missing, invalid or paid at zero; G262 must be billed with Z434 (J11).

Related codes: Z434, G298, Z442, G297, G263, E409

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Cardiovascular, page J11.

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