R702 – Bi-ventricular assist device insertion
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
R702 is a cardiovascular surgical procedure for the insertion of a bi-ventricular assist device. Payment is restricted to procedures involving paracorporeal devices inserted for a duration of less than 14 days. This service is distinct from extracorporeal membrane oxygenator procedures, which are to be billed as Z788. If a ventricular assist device is replaced, both the appropriate removal and insertion fee codes are eligible for payment.
When to Use
- Use R702 specifically for the insertion of a paracorporeal bi-ventricular assist device intended for a duration of less than 14 days.
- Use this code when performing a device replacement, as you are permitted to bill both the removal code and the R702 insertion code on the same claim.
Common Pitfalls
- Billing R702 for extracorporeal membrane oxygenator (ECMO) procedures, which must be billed exclusively as Z788.
- Attempting to use R702 for long-term ventricular assist devices exceeding the 14-day paracorporeal restriction, which may trigger audit reviews for inappropriate code selection.
- Failing to document the specific device type and intended duration, as the 14-day threshold is a strict requirement for the validity of this fee.
Billing Tips
- Ensure that if a second surgical assistant is required for the procedure, you bill their services separately, as this is permitted without prior medical consultant authorization.
- Apply the appropriate age-based premiums (AGE_PREMIUM) or after-hours premiums (E409, E410) to the R702 base fee to ensure full procedural reimbursement.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
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