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R732
R732 – Aortic valve replacement by open surgical approach
OHIP Radiology Code · Schedule of Benefits
Aortic valve replacement by open surgical approach
When to Use
- Use R732 for standard open-heart aortic valve replacement via sternotomy or thoracotomy, as opposed to R739 which is strictly reserved for transcatheter (TAVI/TAVR) procedures.
- Use R732 when performing a stand-alone valve replacement; if the procedure involves a composite graft of the aortic root and ascending aorta, bill R863 instead.
Common Pitfalls
- Billing R732 alongside E650 is redundant as the pump run and cannulation are considered integral to the surgical fee and are not separately billable.
- Failing to apply the 85% rule for additional valves when performing multi-valve replacements will lead to payment discrepancies or audit flags.
Billing Tips
- Always append the correct suffix (A for surgeon, B for assistant, C for anaesthesiologist) to ensure the claim processes against the correct fee schedule.
- If a second assistant is required for the procedure, ensure the claim is submitted with the GP90 code to trigger automatic payment without needing prior authorization.
Provider Fee$1,548.25
Surgical Assistant Fee$232.38
Anaesthetist Fee$446.88
Non-Anaesthetist Fee$446.88
Effective: April 1, 2026
Service Type
Cardiovascular Surgical Procedures
Code Classes
Surgery
Open surgical approach required.
Documentation of the procedure in the operative report.
Multivalvular replacement: The fee will be that for the major valve replaced plus 85% of the fee for the additional valve or valves.
R732 is listed as a service where a second assistant's services are payable without prior authorization ().
Age-based premiums apply for patients under 16 years of age ().
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