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R729
R729 – Mitral valvotomy
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Mitral valvotomy is a surgical intervention to treat mitral valve stenosis. The procedure involves making an incision into the valve's commissures to increase the opening. This fee code is for the surgeon's professional service (<suffix>A</suffix>) and includes standard pre-operative and post-operative care. Assistant (<suffix>B</suffix>) and anaesthesia (<suffix>C</suffix>) services are billed separately using unit-based calculations.
When to Use
- Use R729 specifically for a surgical mitral valvotomy to treat mitral stenosis when the valve is amenable to commissurotomy.
- Select R729 when performing the procedure as a standalone intervention, distinguishing it from more complex repairs or replacements like R730 (Mitral valve replacement).
Common Pitfalls
- Billing R729 in conjunction with other valvular procedures without applying the 85% reduction rule for additional valves as specified in the Schedule of Benefits.
- Failing to document the specific surgical approach or the necessity of the valvotomy, which can lead to audit scrutiny regarding the medical necessity of the procedure versus alternative valve interventions.
Billing Tips
- Ensure that the assistant (suffix B) and anaesthesia (suffix C) units are calculated based on the major procedure if multiple surgical interventions are performed during the same anaesthetic session.
Provider Fee$717.25
Surgical Assistant Fee$225.18
Anaesthetist Fee$309.80
Non-Anaesthetist Fee$309.80
Effective: April 1, 2025
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
Referral RequiredFrom: Physician, NursePractitioner, DentalSurgeon
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