OHIP Billing Codes

Specialty: Heart And Pericardium

Code Description Fee
R700 With hypothermia and without bypass basic fee for cardiovascular procedures
R701 Ventricular assist devices - uni-ventricular 721.6
R702 Ventricular assist devices - bi-ventricular 1334.8
R703 Ventricular assist devices - paracorporeal 1443.05
R704 Ventricular assist devices - implantable 2163.35
R705 Ventricular assist devices - removal of ventricular assist device 508.55
R706 Cardiotomy - Right and left atrial ablative procedure for treatment of atrial arrhythmia surgical procedure or performed with an energy source 1245.85
R709 Cardiotomy - Left atrial ablative procedure for surgical treatment of atrial arrhythmia (either CoxMaze procedure or performed using an energy source) 778.65
R710 Cardiotomy - Resection/ablation for ventricular tachycardia (to include cardiotomy, mapping with or without HIS bundle) 1112.15
R711 Cardiotomy - Division of accessory conduction pathway (to include cardiotomy, mapping with or without HIS bundle) 741.55

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R712 Cardiotomy - with exploration 525.75
R713 Cardiotomy - with removal of foreign body 635.45
R714 Cardiotomy - with removal of tumour 525.75
R715 Closure of atrial septal defect - secundum 755.8
R716 Closure of atrial septal defect - endocardial cushion and valve defect 1124.7
R717 Closure of atrial septal defect - with anamalous pulmonary venous drainage 948.75
R718 Closure of atrial septal defect - Closure of ventricular septal defect 948.75
R720 Total repair Tetralogy of Fallot with or without previous arterial shunt 1285
R721 Arterial repair of transposition 1739.2
R722 Total anomalous pulmonary venous drainage 1152.3
R723 Total correction transposition of great vessels 1152.3
R740 Left atrial appendage occlusion/excision by suture of device, sole procedure 400
R741 Excision - Coronary artery endarterectomy and/or gas endarterectomy 730.7
R742 Coronary artery repair - one 895.55
R743 Coronary artery repair - two 1278.1
R746 Excision - Ventricular tumour 864.5
R747 Excision - Aneurysm of sinus of Valsalva 783.55
R748 Pericardiectomy - one side open 635.45
R749 Pericardiectomy - both sides open or sternal split 1001.4
R750 Thoracotomy - Open biopsy of pericardium and drainage (transthoracic or epigastric) 317.85
R751 Implantation of epicardial electrode(s) plus implantation of pack 465
R752 Atrioventricular sequential pacemaker with permanent atrial and ventricular endocardial electrodes 454.55
R753 Implantation of cardioverter (CD) defibrillator - by thoracotomy 720.3
R754 Ligation or division patent ductus - infant or child 525.75
R755 Ligation or division patent ductus - adolescent or adult 730.7
R756 Resection coarctation - child 755.8
R757 Resection coarctation - infant 785.9
R758 Resection coarctation - adolescent or adult 984.9
R759 Congenital heart procedures e. g. Blalock, Glenn, Potts, Waterston or Central 774.35
R761 Implantation of cardioverter (CD) defibrillator - by transvenous approach 587.35
R762 Creation of ASD - by thoracotomy or Sterling Edwards 755.8
R763 Creation of ASD - by balloon septostomy 317.85
R765 Cardiac massage - open 231.3
R768 Pulmonary artery banding 628.95
R769 Pulmonary artery banding - with pressure studies by anaesthetist, extra/hour
R770 Correction of cor triatriatum 885.6
R771 Vascular ring 755.8
R857 Interruption of bronchial collateral arteries (one or more arteries) - as sole procedure 730.7
R870 Orthotopic cardiac transplantation 1443.05
R872 Donor cardiectomy 481.4
R874 Cardiopulmonary transplantation 2565.3
R920 Excision - Ventricular tumour 712.15
R921 Complete A-V canal 1480.4
R922 Single ventricle 1687.5
R923 Double outlet-right/left ventricle 1516.7
R924 Double outlet ventricle with transposition 1728.9
R925 Truncus arteriosus 1718.55
R926 Interrupted aortic arch 1516.7
R927 Aorto-pulmonary window 960.4
R928 R-V outflow tract with valve and tubular graft 1064.55
R929 Debanding arterioplasty of pulmonary artery 943.45
Z401 Thoracotomy - Aspiration of pericardium 131.7
Z412 Replacement or repair of pacemaker lead 110.75
Z414 Thoracotomy - Injection of pericardial sclerosing agents 23.1
Z415 Removal and/or replacement of implantable cardioverter defibrillator 339.45
Z428 Pacemaker lead extraction, including the use of extraction sheathes, with or without laser or similar technology 598.5
Z429 Implantation of coronary sinus lead for biventricular pacing 299.25
Z433 Replacement of pacemaker pack (single or multiple leads) 146.45
Z435 Insertion of permanent endocardial electrode(s) 154.1
Z436 Exposure of vein and implantation of pack 166.55
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
Z445 Repositioning of permanent endocardial electrode (as separate procedure) 323.75
Z465 Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect - device closure of a single defect 198.55
Z466 Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect - device closure of two or more defects 347.45
Z743 Circulatory assist device e.g. intra-aortic balloon - open 307.8
Z744 Decannulation of circulatory assist device - open 123.05
Z751 Repositioning of intra-aortic balloon pump - open 127.95
Z759 Removal of failed vascular graft without arterial reconstruction when sole procedure 189.55
Z780 Circulatory assist device e.g. intra-aortic balloon - percutaneous 219.8
Z781 Decannulation of circulatory assist device - percutaneous 39
Z782 Repositioning of intra-aortic balloon pump - percutaneous 82.55
Z788 Extracorporeal Membrane Oxygenator (ECMO) - includes cannulating and decannulating, by any method, heart, vein and/or artery and repair of vessels if rendered 366.5

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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