Cardiovascular surgical procedures OHIP billing codes


Repair

Code Description Amount Ans Units Assist Units
R720 Total repair Tetralogy of Fallot with or without previous arterial shunt $1,261.80 28 18
R722 Total anomalous pulmonary venous drainage $1,124.70 28 18
R723 Total correction transposition of great vessels $1,124.70 28 18
R721 Arterial repair of transposition $1,687.50 28 18
R921 Complete A-V canal $1,480.40 28 18
R922 Single ventricle $1,687.50 28 18
R923 Double outlet-right/left ventricle $1,480.40 28 18
R924 Double outlet ventricle with transposition $1,687.50 28 18
R925 Truncus arteriosus $1,687.50 28 18
R926 Interrupted aortic arch $1,480.40 28 18
R927 Aorto-pulmonary window $948.75 28 18
R928 R-V outflow tract with valve and tubular graft $1,064.55 28 18
R929 Debanding arterioplasty of pulmonary artery $943.45 28 18
R768 Pulmonary artery banding $628.95 20 13
R769 Pulmonary artery banding - with pressure studies by anaesthetist, extra/hour $0.00 6 N/A
R770 Correction of cor triatriatum $864.40 20 18
R771 Vascular ring $755.80 20 18
R790 Traumatic - Suture of lacerated major artery $316.85 10 6
R795 Traumatic - Repair of lacerated major artery or microscopic repair of digital artery (including patch angioplasty) $598.40 10 10
R862 Traumatic - Repair of lacerated major artery or microscopic repair of digital artery (including patch angioplasty) - by bypass or interposition graft $834.30 10 10
R820 Lacerated major vein e.g. femoral, popliteal, vena cava, axillary, subclavian, brachial or microscopic repair of digital vein $396.95 7 6
R818 Lacerated major vein e.g. femoral, popliteal, vena cava, axillary, subclavian, brachial or microscopic repair of digital vein - including patch $596.70 10 10
R819 Lacerated major vein e.g. femoral, popliteal, vena cava, axillary, subclavian, brachial or microscopic repair of digital vein - by vein graft $793.55 10 10
R835 S.V.C. bypass graft $758.40 17 7
R836 Pulmonary embolectomy $866.55 20 18
R828 Ilio-femoral thrombectomy with or without femoral vein ligation $446.50 10 10
E657 - plus I.V.C. ligation . . . Add $446.50 N/A N/A
R829 Thrombectomy, other than above $302.80 10 7
R865 Distal spleno-renal shunt $1,259.55 10 10

Incision

Code Description Amount Ans Units Assist Units
Z402 Arteriotomy $117.30 6 N/A

Ligation

Code Description Amount Ans Units Assist Units
R781 Ligation of artery as sole procedure $170.10 8 6
R708 Internal iliac artery (unilateral or bilateral) $409.55 10 7
E679 - with vein graft harvest remote from site of bypass and only when saphenous vein is unavailable . . . Add $124.10 N/A N/A
E649 - embolectomy and/or thrombectomy when done in conjunction with other vascular procedures . . . Add $112.45 N/A N/A

Ligation/Stripping

Code Description Amount Ans Units Assist Units
Z745 Saphenous $53.20 6 N/A
R868 High ligation and stripping of long saphenous vein with groin dissection $200.00 7 6
R869 Stripping of short saphenous vein with popliteal dissection $107.50 7 6
R837 Multiple ligation and avulsion $200.00 7 6
R844 Recurrent varicose veins multiple ligation and/or stripping $353.80 7 6
R842 Extra fascial and sub-fascial incompetent perforators by full fascial technique $384.75 7 6
E653 - plus stripping . . . Add $127.15 N/A N/A
Z746 Femoral $74.25 7 6
Z747 Popliteal $74.25 7 6
Z748 Internal jugular $148.60 7 6
R839 Internal iliac $394.85 10 6
R834 I.V.C. - transabdominal $446.50 10 6
R838 I.V.C. - transvenous (umbrella) $303.00 10 6

Excision

Code Description Amount Ans Units Assist Units
R825 Resection of AV aneurysm or fistula with or without major graft - major aneurysm $975.50 17 10
R826 Resection of AV aneurysm or fistula with or without major graft - minor aneurysm $497.25 10 10

Anastomosis

Code Description Amount Ans Units Assist Units
R822 Porto-caval $919.10 10 10
R823 Spleno-renal - abdominal approach $1,117.90 10 10
R821 Spleno-renal - transthoracic approach $1,117.90 13 10
R824 Meso-caval $866.55 10 10
R827 Creation of A.V. fistula
- Professional Fee $7.00 N/A N/A
R841 Obliteration of A.V. fistula $82.55 7 N/A
R833 Ligation or removal of by-pass graft $82.55 6 N/A

Other

Code Description Amount Ans Units Assist Units
R700 With hypothermia and without bypass basic fee for cardiovascular procedures $0.00 25 N/A
Z759 Removal of failed vascular graft without arterial reconstruction when sole procedure $189.55 6 N/A
E655 - reoperation for failed vascular grafts for repair or replacement of existing prosthesis (more than one month after original operation) . . . Add $348.70 N/A N/A
E650 - Pump bypass includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run . . . Add $366.50 28 N/A
E682 - Pump bypass axillary artery graft for cardiopulmonary bypass, to E650 . . . Add $423.85 N/A N/A
Z788 Extracorporeal Membrane Oxygenator (ECMO) - includes cannulating and decannulating, by any method, heart, vein and/or artery and repair of vessels if rendered $366.50 6 N/A
Z743 Circulatory assist device e.g. intra-aortic balloon - open $307.80 7 N/A
Z780 Circulatory assist device e.g. intra-aortic balloon - percutaneous $219.80 7 N/A
Z744 Decannulation of circulatory assist device - open $123.50 6 N/A
Z781 Decannulation of circulatory assist device - percutaneous $39.00 N/A N/A
Z751 Repositioning of intra-aortic balloon pump - open $127.95 6 N/A
Z782 Repositioning of intra-aortic balloon pump - percutaneous $82.55 N/A N/A
E670 - Reoperation involving open heart procedures with pump following previous thoracotomy . . . Add $224.70 N/A N/A
E671 - Reoperation involving open heart procedures with pump following previous sternotomy . . . Add $337.00 N/A N/A
R765 Cardiac massage - open $231.30 13 13
Z433 Replacement of pacemaker pack (single or multiple leads) $146.45 6 N/A
Z444 Insertion of permanent endocardial electrode and implantation of pack, includes insertion of temporary transvenous lead at same surgical procedure by same surgeon $323.75 6 6
Z445 Repositioning of permanent endocardial electrode (as separate procedure) $323.75 6 N/A
Z435 Insertion of permanent endocardial electrode(s) $154.10 N/A N/A
Z436 Exposure of vein and implantation of pack $166.55 6 N/A
R752 Atrioventricular sequential pacemaker with permanent atrial and ventricular endocardial electrodes $454.55 6 6
R751 Implantation of epicardial electrode(s) plus implantation of pack $465.00 20 6
Z429 Implantation of coronary sinus lead for biventricular pacing $299.25 8 6
R701 Ventricular assist devices - uni-ventricular $721.60 28 18
R702 Ventricular assist devices - bi-ventricular $1,334.80 28 18
R703 Ventricular assist devices - paracorporeal $1,443.05 28 18
R704 Ventricular assist devices - implantable $2,163.35 28 18
R705 Ventricular assist devices - removal of ventricular assist device $508.55 20 18
Z412 Replacement or repair of pacemaker lead $110.75 7 6
Z428 Pacemaker lead extraction, including the use of extraction sheathes, with or without laser or similar technology $598.50 7 10
E628 - each additional lead extraction . . . Add $194.50 N/A N/A
R753 Implantation of cardioverter (CD) defibrillator - by thoracotomy $720.30 20 6
R761 Implantation of cardioverter (CD) defibrillator - by transvenous approach $587.35 8 6
Z415 Removal and/or replacement of implantable cardioverter defibrillator $339.45 7 6
M137 Thoracotomy with or without biopsy $390.65 13 9
M134 Thoracotomy for post-operative haemorrhage or empyema $390.65 13 9
Z401 Thoracotomy - Aspiration of pericardium $131.70 N/A N/A
Z414 Thoracotomy - Injection of pericardial sclerosing agents $23.10 N/A N/A
R750 Thoracotomy - Open biopsy of pericardium and drainage (transthoracic or epigastric) $317.85 13 13
R748 Pericardiectomy - one side open $635.45 20 13
R749 Pericardiectomy - both sides open or sternal split $1,001.40 20 13
R712 Cardiotomy - with exploration $525.75 20 18
R713 Cardiotomy - with removal of foreign body $635.45 20 18
R714 Cardiotomy - with removal of tumour $525.75 20 18
E660 - epicardial E.P.S. mapping . . . Add $185.15 N/A N/A
E661 - endocardial E.P.S. mapping . . . Add $185.15 N/A N/A
E658 - HIS Bundle ablation . . . Add $278.10 N/A N/A
R711 Cardiotomy - Division of accessory conduction pathway (to include cardiotomy, mapping with or without HIS bundle) $741.55 20 N/A
R709 Cardiotomy - Left atrial ablative procedure for surgical treatment of atrial arrhythmia (either CoxMaze procedure or performed using an energy source) $778.65 20 18
R706 Cardiotomy - Right and left atrial ablative procedure for treatment of atrial arrhythmia surgical procedure or performed with an energy source $1,245.85 20 18
R710 Cardiotomy - Resection/ablation for ventricular tachycardia (to include cardiotomy, mapping with or without HIS bundle) $1,112.15 20 N/A
R920 Excision - Ventricular tumour $712.15 28 18
R746 Excision - Ventricular tumour $864.50 28 18
R747 Excision - Aneurysm of sinus of Valsalva $783.55 28 18
E648 - Excision excision of extensive endocardial scar, to ventriculotomy or aneurysm repair . . . Add $135.80 N/A N/A
R741 Excision - Coronary artery endarterectomy and/or gas endarterectomy $730.70 20 18
E651 - when done in conjunction with coronary artery repair . . . Add $202.05 N/A N/A
R742 Coronary artery repair - one $895.55 20 18
R743 Coronary artery repair - two $1,255.00 20 18
E654 - Coronary artery repair each additional . . . Add $187.70 N/A N/A
E645 - Coronary artery repair off pump coronary artery bypass grafting, to R742 or R743 . . . Add $366.50 40 24
E652 - Coronary artery repair use of internal mammary or epigastric or radial artery for construction of bypass graft, to R742 or R743 . . . Add $186.70 N/A N/A
E646 - Coronary artery repair vein patch angioplasty of coronary artery . . . Add $187.80 N/A N/A
R857 Interruption of bronchial collateral arteries (one or more arteries) - as sole procedure $730.70 20 13
E663 - Interruption of bronchial collateral arteries (one or more arteries) when done in conjunction with other cardiac surgery . . . Add $183.00 N/A N/A
R754 Ligation or division patent ductus - infant or child $525.75 20 13
R755 Ligation or division patent ductus - adolescent or adult $730.70 20 13
R757 Resection coarctation - infant $785.90 20 13
R756 Resection coarctation - child $755.80 20 13
R758 Resection coarctation - adolescent or adult $967.10 20 13
R759 Congenital heart procedures e. g. Blalock, Glenn, Potts, Waterston or Central $755.80 20 13
R763 Creation of ASD - by balloon septostomy $317.85 9 9
R762 Creation of ASD - by thoracotomy or Sterling Edwards $755.80 20 18
R715 Closure of atrial septal defect - secundum $755.80 20 18
R716 Closure of atrial septal defect - endocardial cushion and valve defect $1,124.70 20 18
R717 Closure of atrial septal defect - with anamalous pulmonary venous drainage $948.75 28 18
R718 Closure of atrial septal defect - Closure of ventricular septal defect $948.75 28 18
Z465 Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect - device closure of a single defect $198.55 N/A N/A
Z466 Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect - device closure of two or more defects $347.45 N/A N/A
R870 Orthotopic cardiac transplantation $1,443.05 28 18
R872 Donor cardiectomy $481.40 8 7
R874 Cardiopulmonary transplantation $2,534.25 28 18
M157 Donor Heart Lung removal $906.45 8 8
R724 Pulmonary valvotomy $663.10 28 18
R725 Pulmonary valvotomy and infundibular resection $758.80 28 18
R772 Pulmonary valve replacement $758.80 28 18
R726 Tricuspid valvotomy $778.25 20 18
R727 Tricuspid annuloplasty $662.55 20 18
R728 Tricuspid valve replacement $758.80 28 18
R729 Mitral valvotomy $717.25 20 18
R730 Mitral valvotomy restenosis $798.80 20 18
R734 Mitral annuloplasty $770.70 20 18
R735 Mitral replacement $948.70 28 18
R733 Mitral valvoplasty $963.40 28 18
R773 Mitral valve reconstruction - simple (includes annuloplasty) $1,618.50 28 18
R774 Mitral valve reconstruction - complex (includes annuloplasty and repair of both the anterior and posterior leaflets) $2,021.05 28 18
R930 Mitral valve reconstruction - Aortic valvoloplasty $837.70 28 18
R736 Aortic valvotomy $707.85 20 18
R737 Aortic infundibular resection (ventriculomyotomy) $869.70 28 18
R738 Aortic valve replacement $1,036.50 28 18
E647 - patch aortoplasty with pericardium or graft, to R738 and/or aortic annuloplasty . . . Add $264.70 N/A N/A
E656 - aortic annuloplasty (reconstruction and enlargement of aortic annulus), to R738 and/or patch aortoplasty . . . Add $288.85 N/A N/A
R863 Replacement of aortic valve, replacement of ascending aorta, and reimplantation of coronary arteries (Modified Bentall) $2,021.05 28 18
R876 Valve sparing aortic root replacement or remodelling $2,021.05 28 18
R775 Cannulation for infusion chemotherapy - superficial temporal artery $95.80 6 6
R776 Cannulation for infusion chemotherapy - hepatic artery $236.05 7 6
R778 Cannulation for infusion chemotherapy - carotid artery $148.50 6 6
R760 Regional isolation perfusion e.g. iliac $410.45 10 10
R764 Exploration of major artery $271.60 10 6
R788 Ligation of internal maxillary artery - unilateral $408.10 10 7
R789 Ligation of anterior ethmoidal artery - unilateral $299.85 7 6
R875 Endovascular aneurysm repair using stent grafting $1,396.90 17 10
E627 - ruptured aneurysm, to R875 . . . add $400.00 N/A N/A
E510 - for branched or fenestrated devices, to R875 . . . add $838.15 N/A N/A
E509 - conduit to aorta or common iliac artery, to R875 . . . add $805.65 N/A N/A
R880 Abdominal surgical exposure - supraceliac aortic cross clamp $0.00 20 N/A
R881 Abdominal surgical exposure - infraceliac aortic cross clamp $0.00 17 N/A
R882 Thoracic surgical exposure $0.00 25 N/A
R883 Thoraco-abdominal surgical exposure $0.00 30 N/A
R815 Arterioplasty with or without patch graft including microvascular anastomosis, arterial or venous (other than listed below) $581.85 10 10
R792 Carotid - endarterectomy, with or without bypass graft $841.00 10 10
E665 - with patch graft, to R792 . . . Add $419.00 N/A N/A
R796 Carotid - carotid body tumour $769.85 10 10
R798 Carotid - aneurysm reconstruction or excision with graft $820.70 10 10
R830 Aortic arch reconstruction - innominate $910.70 10 10
R831 Aortic arch reconstruction - subclavian $910.70 10 10
R832 Aortic arch reconstruction - vertebral $867.35 10 10
E659 - with thoracotomy . . . Add $169.00 N/A N/A
E667 - ruptured . . . Add $266.60 N/A N/A
R799 Thoracic aorta aneurysm - repair or excision with graft - ascending $1,455.30 20 18
R800 Thoracic aorta aneurysm - repair or excision with graft - arch $1,807.10 20 18
R801 Thoracic aorta aneurysm - descending with or without temporary shunt $1,260.30 20 10
E667 - Aortic arch reconstruction vertebral ruptured . . . Add $266.60 N/A N/A
R803 Thoracic aorta aneurysm - Thoracoabdominal aneurysm $2,566.70 30 18
R802 Abdominal aorta - repair or excision with graft - aneurysm repair alone or including unilateral common femoral repair $1,500.00 17 10
R817 Abdominal aorta - repair or excision with graft - aneurysm repair and bilateral common femoral repair $2,202.00 17 10
R877 Abdominal aorta - repair or excision with graft - aneurysm with repair of iliac artery aneurysm (unilateral or bilateral) $2,002.75 17 10
E627 - Endovascular aneurysm repair using stent grafting ruptured aneurysm, to R875 . . . add $400.00 N/A N/A
E626 - Abdominal aorta repair or excision with graft with implantation of inferior mesenteric artery, to R802, R817 or R877 . . . Add $174.35 N/A N/A
R811 Mesenteric or celiac artery repair - aneurysm $410.85 10 10
R935 Mesenteric or celiac artery repair - removal of band only $410.85 10 10
R936 Mesenteric or celiac artery repair - endarterectomy or graft $954.10 10 10
R940 Pulmonary thromboendarterectomy (PTE) - includes circulatory arrest with hypothermia $2,021.05 28 18
R783 Aorto-Iliac repair - including common iliac repair (uni-or bilateral) $2,002.00 17 10
R784 Aorto-Iliac repair - plus unilateral common femoral repair $2,102.00 17 10
R785 Aorto-Iliac repair - plus bilateral common femoral repair $2,202.00 17 10
E626 - Abdominal aorta repair or excision with graft with implantation of inferior mesenteric artery, to R802, R817 or R877 . . . Add $174.35 N/A N/A
R814 Aorto-Iliac repair - embolectomy or thrombectomy of bifurcation (aorta or graft) $461.50 10 10
R858 Aorto-Iliac repair - Total removal of infected aortic graft (stem and limbs)* $918.35 17 10
E664 - closure of duodenum . . . Add $127.05 N/A N/A
R859 Aorto-Iliac repair - Partial removal of infected aortic graft (one limb only)* $344.00 10 10
R805 Aorto-Iliac repair - Renal artery - aneurysm reconstruction or excision with graft $867.35 10 10
R806 Renal artery repair $867.35 10 10
R807 Splenic artery aneurysm reconstruction or excision with graft $411.05 10 10
R786 Iliac repair to include internal iliac aneurysm $805.65 10 10
R937 Ilio-femoral bypass graft $805.65 10 10
R860 Per-obturator ilio-femoral graft - with saphenous vein $898.55 10 10
R861 Per-obturator ilio-femoral graft - with prosthetic graft $876.85 10 10
R855 Profundoplasty - Common femoral/profunda femoris repair - as sole procedure $559.20 10 10
R856 Profundoplasty - Extended profundoplasty $818.80 10 10
R933 Profundoplasty - Axillofemoral, femorofemoral or axilloaxillary graft $656.55 10 10
R932 Profundoplasty - Axillo-bilfemoral graft $1,200.00 10 10
R934 Profundoplasty - Aortofemoral unilateral graft (for bilateral see R785) $867.35 17 10
R808 Profundoplasty - Femoral aneurysm - reconstruction or excision with graft $600.30 10 10
R873 Profundoplasty - Thrombin injection of femoral artery pseudoaneurysm $68.20 6 N/A
R864 Repair of false aneurysm at groin anastomosis $893.20 10 10
R809 Femoral-popliteal endarterectomy $759.60 10 10
R878 Subintimal dissection for recanalization of femoral/popiteal/ tibial arterial occlusive disease $759.60 10 10
R879 Subintimal dissection for recanalization of iliac/aorta arterial occlusive disease $759.60 10 10
E815 - angioplasty remote from subintimal dissection site, to R878 and R879 . . . Add $398.15 N/A N/A
R791 Femoro-popliteal - with saphenous vein $857.35 10 10
E672 - Femoropopliteal composite femoral popliteal/tibial bypass (vein PFPE, dacron) . . . Add $133.40 N/A N/A
R794 Femoro-popliteal - with prosthetic graft $733.15 10 10
R787 Femoro-anterior/posterial tibial/peroneal bypass graft - with saphenous vein $1,006.75 10 10
E672 - Femoropopliteal composite femoral popliteal/tibial bypass (vein PFPE, dacron) . . . Add $133.40 N/A N/A
R780 Femoro-anterior/posterial tibial/peroneal bypass graft - with prosthetic graft $878.00 10 10
R810 Popliteal aneurysm $805.65 10 7
R812 Peripheral arteries other than listed - aneurysm $410.45 10 7
R813 Embolectomy - artery or graft - as sole procedure $490.00 10 7
R867 Thrombectomy artery - or graft as - sole procedure $490.00 10 7
R866 Gastric devascularization as - sole procedure $549.65 10 10
R797 In-situ saphenous vein arterial bypass - popliteal $1,414.15 17 10
R804 In-situ saphenous vein arterial bypass - tibial $1,643.00 17 10