Cardiology Tariffs

Billing Note

Tariff 2381 is to be claimed for the implantation of the loop recorder. It may be claimed again by the same or a different physician when the loop recorder is removed from the patient.

1. Tariff 2397 and 2401 may be claimed in addition to tariffs 2307, 2308, 2325, or 2327.
2. Coronary Angioplasty (tariffs 6267, 6268 or 6270) is payable at 100% when rendered on the same day as tariff 2397 or 2401.

Billing Notes:

• • As the tariff notes indicate, tariffs 2397 and 2401 may only be claimed in addition to a cardiac catheterization procedure (i.e., one of tariffs 2307, 2308, 2325 or 2327).
  • When coronary angioplasty is also performed on the same day as tariff 2397 and/or 2401 (in addition to a cardiac catheterization procedure), the angioplasty procedure (i.e., one of tariff 6267, 6268 or 6270) as well as tariff 2397 and/or 2401 are payable at 100%. In accordance with the Rules of Application, however, the cardiac catheterization procedure would be payable at 50%.

Example 1: A patient undergoes selective coronary artery arteriography with both left and right heart catheterization AND intracoronary ultrasound.

Tariff 2327 ($530.15) and tariff 2397 ($122.05) should be claimed, for a total fee of $652.20.

Example 2: A patient underundergoes a left heart catheterization with selective coronary artery arteriography. Coronary FFR measurements are then taken on two coronary vessels and, as a result, a coronary angioplasty with stent insertion is immediately performed on one of the coronary vessels.

The claim for this service should be submitted as tariff 2308 @ 50% ($468.65 @ 50%) + tariff 2401 * 2 ($120.85 *2) + tariff 6267 ($777.60) + tariff 6278 ($154.85). The total fee payable would be $1,408.48.

Billing Note:

Interventional cardiology procedures include but are not limited to tariffs: 2302, 2304, 2306, 2307, 2308, 2325, 2327, 2403, 2521, 2522, 6267, 6268, 6270, 6271, 6272, 6273, 6274, 6275, 2369, 6969.