R714 – Cardiotomy - with removal of tumour
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Cardiotomy with removal of tumour is a surgical procedure listed under the Cardiovascular Surgical Procedures section. It involves making an incision into the heart muscle to access and remove a tumour. The fee for this service is eligible for payment to the operating surgeon (suffix A), a surgical assistant (suffix B), and an anaesthesiologist (suffix C). The fees for the assistant and anaesthesiologist are calculated using a unit-based system, combining base units with time units for the duration of the procedure. This procedure allows for a second assistant to be billed without requiring special authorization.
When to Use
- Use R714 specifically for the surgical excision of intracardiac masses such as myxomas, fibromas, or thrombi requiring an open cardiotomy.
- Select R714 when the primary objective of the procedure is the removal of a tumour from the heart chambers or valves, distinguishing it from R710 or R711 which are focused on arrhythmia-related ablations or conduction pathways.
Common Pitfalls
- Billing R714 alongside E660 or E661 without clear documentation of the mapping procedure, which is subject to audit for medical necessity.
- Attempting to bill R714 in combination with R710 or R711, which may trigger rejection or recovery if the Ministry deems the services bundled or overlapping in scope.
Billing Tips
- Ensure that if a second surgical assistant is utilized, the claim is submitted without special authorization, as R714 is explicitly designated as eligible for a second assistant.
- When performing concurrent electrophysiological interventions, ensure the appropriate add-on codes (E660, E661, or E658) are appended to the primary R714 claim to capture the full scope of the procedure.
Effective: April 1, 2026
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
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