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