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R704 – Ventricular assist device - implantable

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

Surgical implantation of a ventricular assist device. This is a cardiovascular surgical procedure for the heart and pericardium. Payment rules differentiate this from paracorporeal devices and ECMO. This service may be billed with R701 if a right ventricular assist device is also inserted to support the left ventricular assist device. If replacing a device, both the removal and insertion fees are payable. A second assistant is payable without special authorization.
When the E420 trauma premium is claimed, the medical record must list the Injury Severity Score (ISS).

Extracorporeal membrane oxygenator procedures do not constitute R701, R702, R703 or R704.

Extracorporeal membrane oxygenator procedures are eligible for payment as Z788.

Z744 or R705 are eligible for payment when rendered with cardiac transplantation.

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