Z440

Retrograde aortic

Fee

ComponentValue
Provider fee$208.50
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 423 / J9

- retrograde aortic ................................................................ 208.50 7
Passages mentioning Z440

PDF page 421 / J7

Vascular cannulation
  Z459 Arterial puncture ...................................................................... 10.20
# G268 Cannulation of artery for pressure measurements including cut
          down as necessary..............................................................       31.25
      Note:
      G268 is not eligible for payment with G249, G259, G261, G176, G177, G178, G288,
      Z443 or Z440.
# G269 Cannulation of central vein for pressure measurements or for
         feeding line - not to be billed with right heart catheterization
         (Z439) or with Swan-Ganz catheter insertion......................                           31.25
# G270 Intraosseous infusion...............................................................          23.90
# G309 Umbilical artery catheterization (including obtaining of blood
          sample)................................................................................    45.55
    Venipuncture
+ G480 - infant....................................................................................  9.90
+ G482 - child ..................................................................................... 7.35
+ G489 - adolescent or adult ..............................................................          3.54
     Note:
     G489 is not insured when rendered for the monitoring of adverse effects resulting from a calorie
     restricted weight loss program.
+ G483 Therapeutic venisection...........................................................             9.70
  G282 Umbilical vein catheterization (including obtaining of blood
          sample)................................................................................    43.60
# Z438 Insertion of Swan-Ganz catheter (not included in respiratory or
          critical care benefits) ...........................................................       162.50    6
          Note:
          1.Swan-Ganz catheter insertion is included in the anaesthesia basic units of any surgical
            services where anaesthesia basic units are listed
          2.Z438 includes dye dilution densitometry and/or thermal dilution studies, when rendered
            (except in the setting of a cardiac catheterization laboratory).
          [Commentary:
          See G285 for dye dilution densitometry and G286 for thermal dilution studies performed using a
          Swan-Ganz catheter in a cardiac catheterization laboratory.]
# Z456 Insertion of implantable central venous catheter .....................                       296.50    6
# Z457 Surgical removal or repair of tunneled central venous catheter                                60.00    6
# Z446 Insertion of subcutaneous venous access reservoir ...............                            168.00    6
# Z447 - revision same site................................................................         130.70    6
# E684           - when performed in infant or child, to Z456 or Z446 ....add                       233.65

PDF page 423 / J9

HAEMODYNAMIC/FLOW/METABOLIC STUDIES
      Right heart
# Z439 - pressures only ....................................................................      166.90    6
      Left heart
# Z440 - retrograde aortic ................................................................       208.50    7
# Z441 - transeptal............................................................................   297.15    7
# G296 Dye dilution densitometry and/or thermal dilution studies -
         benefit covers all studies on same day in cath lab .............                         110.95
# G285 Dye dilution densitometry when rendered in a cardiac catheter
         lab using a Swan-Ganz catheter, to Z438 .................... add                          32.90
# G286 Thermal dilution studies when rendered in a cardiac catheter
         lab using a Swan-Ganz catheter, to Z438 .................... add                          32.90
Fee master record

Master, record 7192. Record Layout PDF, page 1.

Z44020260401999999990000208500000001042500000000000000000095760000000957600

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00002085000 / 208.5
assistant00001042500 / 104.25
specialist00000000000 / 0
anaesthetist00000957600 / 95.76
non anaesthetist00000957600 / 95.76
Explanation

AI-generated. Unreviewed.

Left heart study, listed for retrograde aortic, under Diagnostic and Therapeutic Procedures, Cardiovascular, Haemodynamic/Flow/Metabolic Studies.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
Preparing offline search…