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R701 – Uni-ventricular assist device insertion

OHIP Cardiovascular Surgical Procedures Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

Surgical insertion of a uni-ventricular assist device. Payment Rules: • R701 or R702 are eligible for payment only for paracorporeal devices inserted for less than 14 days. • Despite payment rule #1, R701 is also eligible for payment in addition to R703 or R704 when a right ventricular assist device is inserted to support a left ventricular assist device, regardless of the duration of insertion of the right ventricular assist device. • Extracorporeal membrane oxygenator procedures do not constitute R701. See Z788. • A second assistant's services are payable and authorization is not required as per . Commentary: • Z744 (decannulation) or R705 (removal) are eligible for payment when rendered with cardiac transplantation. • If a ventricular assist device is replaced, both the appropriate removal and insertion fee codes are eligible for payment.

Payment rules: 1. R701 or R702 are eligible for payment only for paracorporeal devices inserted for less than 14 days. 2. Despite payment rule #1, R701 is also eligible for payment in addition to R703 or R704 when a right ventricular assist device is inserted to support a left ventricular assist device, regardless of the duration of insertion of the right ventricular assist device. 3. R703 is eligible for payment only for paracorporeal devices inserted for 14 or more days. 4. R705 is only eligible for payment for removal of paracorporeal or implantable ventricular assist devices inserted for 14 or more days. 5. R705 includes repair of vessels when rendered. 6. Z744 (decannulation of circulatory assist device) is eligible for payment for removal of paracorporeal or implantable ventricular assist devices inserted for less than 14 days. 7. Only one of Z744 or R705 is eligible for payment per patient per day for removal of ventricular assist devices. 8. Extracorporeal membrane oxygenator procedures do not constitute R701, R702, R703 or R704.

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