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R707

R707Surgical drainage of pericardial effusion for cardiac tamponade (Open/VATS)

OHIP Radiology Code · Schedule of Benefits

Surgical drainage of pericardial effusion for cardiac tamponade, by open or video-assisted thoracic surgery (VATS) approach

When to Use

  • Use R707 when performing an urgent surgical drainage via VATS or open thoracotomy specifically for hemodynamically unstable cardiac tamponade.
  • Select R707 over Z401 when the clinical requirement necessitates a surgical window or VATS approach rather than a percutaneous needle aspiration.

Common Pitfalls

  • Billing R707 alongside Z401, R748, or R749 will result in automatic rejection as these procedures are considered mutually exclusive.
  • Submitting R707 for elective drainage of a stable, non-tamponade pericardial effusion is an audit risk, as the code strictly requires evidence of cardiac tamponade and clinical instability.
  • Failing to document the specific surgical approach (Open or VATS) can lead to claim denial during post-payment review.

Billing Tips

  • Apply after-hours premiums E409 or E410 to the R707 fee if the emergency procedure occurs outside of standard operating hours to maximize the procedural reimbursement.
  • Ensure the operative report clearly links the procedure to the diagnosis of cardiac tamponade to satisfy the specific clinical requirements of the code.
Provider Fee$600.00
Surgical Assistant Fee$167.83
Anaesthetist Fee$207.48
Non-Anaesthetist Fee$207.48

Effective: April 1, 2026

Service Type

Cardiovascular Surgical Procedures

Code Classes

Surgery

Evidence of cardiac tamponade and clinical instability

Open or VATS approach

R707 is not eligible for payment in the setting of pericardial effusion with no evidence of tamponade and clinical instability

R707 is not eligible for payment in addition to pericardiocentesis or pericardiectomy

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