OHIP Billing Codes

Specialty: Heart And Pericardium

Code	Description	Anes	Asst	Fee
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R700	With hypothermia and without bypass basic fee for cardiovascular procedures	25
R701	Ventricular assist devices - uni-ventricular	28	18	736.1
R702	Ventricular assist devices - bi-ventricular	28	18	1361.65
R703	Ventricular assist devices - paracorporeal	28	18	1472.05
R704	Ventricular assist devices - implantable	28	18	2206.85
R705	Ventricular assist devices - removal of ventricular assist device	20	18	518.75
R706	Cardiotomy - Right and left atrial ablative procedure for treatment of atrial arrhythmia surgical procedure or performed with an energy source	20	18	1270.9
R709	Cardiotomy - Left atrial ablative procedure for surgical treatment of atrial arrhythmia (either CoxMaze procedure or performed using an energy source)	20	18	794.3
R710	Cardiotomy - Resection/ablation for ventricular tachycardia (to include cardiotomy, mapping with or without HIS bundle)	20		1134.5
R711	Cardiotomy - Division of accessory conduction pathway (to include cardiotomy, mapping with or without HIS bundle)	20		756.45
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R712	Cardiotomy - with exploration	20	18	536.3
R713	Cardiotomy - with removal of foreign body	20	18	648.2
R714	Cardiotomy - with removal of tumour	20	18	536.3
	E658 - HIS Bundle ablation - add			283.7
	E661 - endocardial E.P.S. mapping - add			188.85
R715	Closure of atrial septal defect - secundum	20	18	771
R716	Closure of atrial septal defect - endocardial cushion and valve defect	20	18	1147.3
R717	Closure of atrial septal defect - with anamalous pulmonary venous drainage	28	18	967.8
R718	Closure of atrial septal defect - Closure of ventricular septal defect	28	18	967.8
R720	Total repair Tetralogy of Fallot with or without previous arterial shunt	28	18	1310.85
R721	Arterial repair of transposition	28	18	1774.15
R722	Total anomalous pulmonary venous drainage	28	18	1175.45
R723	Total correction transposition of great vessels	28	18	1175.45
R741	Excision - Coronary artery endarterectomy and/or gas endarterectomy	20	18	745.4
	E651 - when done in conjunction with coronary artery repair - add			206.1
R742	Coronary artery repair - one	20	18	913.55
	E645 - off pump coronary artery bypass grafting - add			378.45
	E646 - vein patch angioplasty of coronary artery - add			191.55
	E652 - use of internal mammary or epigastric or radial artery for construction of bypass graft - add			191.65
	E654 - each additional - add			192.65
R743	Coronary artery repair - two	20	18	1303.8
	E645 - off pump coronary artery bypass grafting - add			378.45
	E646 - vein patch angioplasty of coronary artery - add			191.55
	E652 - use of internal mammary or epigastric or radial artery for construction of bypass graft - add			191.65
	E654 - each additional - add			192.65
R746	Excision - Ventricular tumour	28	18	881.9
R747	Excision - Aneurysm of sinus of Valsalva	28	18	799.3
R748	Pericardiectomy - one side open	20	13	648.2
R749	Pericardiectomy - both sides open or sternal split	20	13	1021.55
R750	Thoracotomy - Open biopsy of pericardium and drainage (transthoracic or epigastric)	13	13	324.25
R751	Implantation of epicardial electrode(s) plus implantation of pack	20	6	474.35
R752	Atrioventricular sequential pacemaker with permanent atrial and ventricular endocardial electrodes	6	6	463.7
R753	Implantation of cardioverter (CD) defibrillator - by thoracotomy	20	6	734.8
R754	Ligation or division patent ductus - infant or child	20	13	536.3
R755	Ligation or division patent ductus - adolescent or adult	20	13	745.4
R756	Resection coarctation - child	20	13	771
R757	Resection coarctation - infant	20	13	801.7
R758	Resection coarctation - adolescent or adult	20	13	1004.7
R759	Congenital heart procedures e. g. Blalock, Glenn, Potts, Waterston or Central	20	13	789.9
R761	Implantation of cardioverter (CD) defibrillator - by transvenous approach	8	6	599.15
R762	Creation of ASD - by thoracotomy or Sterling Edwards	20	18	771
R763	Creation of ASD - by balloon septostomy	9	9	324.25
R765	Cardiac massage - open	13	13	235.95
R768	Pulmonary artery banding	20	13	641.6
R769	Pulmonary artery banding - with pressure studies by anaesthetist, extra/hour	6
R770	Correction of cor triatriatum	20	18	903.4
R771	Vascular ring	20	18	771
R857	Interruption of bronchial collateral arteries (one or more arteries) - as sole procedure	20	13	745.4
R870	Orthotopic cardiac transplantation	28	18	1472.05
R872	Donor cardiectomy	8	7	491.1
R874	Cardiopulmonary transplantation	28	18	2616.85
R920	Excision - Ventricular tumour	28	18	726.45
R921	Complete A-V canal	28	18	1510.15
R922	Single ventricle	28	18	1721.4
R923	Double outlet-right/left ventricle	28	18	1547.2
R924	Double outlet ventricle with transposition	28	18	1763.65
R925	Truncus arteriosus	28	18	1753.1
R926	Interrupted aortic arch	28	18	1547.2
R927	Aorto-pulmonary window	28	18	979.7
R928	R-V outflow tract with valve and tubular graft	28	18	1085.95
R929	Debanding arterioplasty of pulmonary artery	28	18	962.4
Z401	Thoracotomy - Aspiration of pericardium	0		134.35
Z412	Replacement or repair of pacemaker lead	7	6	113
	E628 - each additional lead extraction - add			198.4
Z414	Thoracotomy - Injection of pericardial sclerosing agents	0		23.55
Z415	Removal and/or replacement of implantable cardioverter defibrillator	7	6	346.25
Z428	Pacemaker lead extraction, including the use of extraction sheathes, with or without laser or similar technology	7	10	610.55
	E628 - each additional lead extraction - add			198.4
Z429	Implantation of coronary sinus lead for biventricular pacing	8	6	305.25
	E628 - each additional lead extraction - add			198.4
Z433	Replacement of pacemaker pack (single or multiple leads)	6		149.4
Z435	Insertion of permanent endocardial electrode(s)	0		157.2
Z436	Exposure of vein and implantation of pack	6		169.9
Z444	Insertion of permanent endocardial electrode and implantation of pack, includes insertion of temporary transvenous lead at same surgical procedure by same surgeon	6	6	330.25
Z445	Repositioning of permanent endocardial electrode (as separate procedure)	6		330.25
Z465	Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect - device closure of a single defect	0		202.55
Z466	Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect - device closure of two or more defects	0		354.45
Z743	Circulatory assist device e.g. intra-aortic balloon - open	7		314
	E650 - includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run - add			378.45
	E682 - axillary artery graft for cardiopulmonary bypass, to E650 - add			432.35
Z744	Decannulation of circulatory assist device - open	6		125.5
	E670 - following previous thoracotomy - add			229.2
	E671 - following previous sternotomy - add			554.55
Z751	Repositioning of intra-aortic balloon pump - open	6		130.5
	E670 - following previous thoracotomy - add			229.2
	E671 - following previous sternotomy - add			554.55
Z759	Removal of failed vascular graft without arterial reconstruction when sole procedure	6		193.35
	E650 - includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run - add			378.45
	E655 - reoperation for failed vascular grafts for repair or replacement of existing prosthesis (more than one month after original operation) - add			355.7
	E682 - axillary artery graft for cardiopulmonary bypass, to E650 - add			432.35
Z780	Circulatory assist device e.g. intra-aortic balloon - percutaneous	7		224.2
	E650 - includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run - add			378.45
	E682 - axillary artery graft for cardiopulmonary bypass, to E650 - add			432.35
Z781	Decannulation of circulatory assist device - percutaneous	0		39.8
Z782	Repositioning of intra-aortic balloon pump - percutaneous	0		84.2
Z788	Extracorporeal Membrane Oxygenator (ECMO) - includes cannulating and decannulating, by any method, heart, vein and/or artery and repair of vessels if rendered	6		373.85
	E650 - includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run - add			378.45
	E682 - axillary artery graft for cardiopulmonary bypass, to E650 - add			432.35

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