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R736
R736 – Aortic valvotomy
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Aortic valvotomy is a surgical procedure performed to widen a narrowed (stenotic) aortic valve. This involves incising the valve commissures.
When to Use
- Use R736 for the surgical treatment of congenital aortic stenosis via commissurotomy when valve replacement is not indicated.
- Select R736 when performing a balloon or surgical valvotomy as the primary procedure for valvular obstruction in pediatric or young adult patients.
Common Pitfalls
- Do not bill R736 in conjunction with valve replacement codes like R724 or R725, as these are mutually exclusive for the same valve site.
- Failure to apply the correct age-based premium (e.g., AGE_PREMIUM_UNDER_16_YEARS) is a common oversight that results in significant underpayment for pediatric cases.
- Billing R736 as an add-on procedure when it is the primary surgical intervention will lead to rejection; ensure it is coded as the primary procedure.
Billing Tips
- Always verify if the procedure qualifies for the E420 trauma premium if performed within 24 hours of a qualifying injury, provided the ISS criteria are met and documented.
- If the procedure is performed after hours, ensure the correct suffix (B for assistant, C for anaesthetist) is applied to trigger the appropriate E400/E401 series premiums.
Provider Fee$776.05
Surgical Assistant Fee$232.38
Anaesthetist Fee$319.20
Non-Anaesthetist Fee$319.20
Effective: April 1, 2026
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
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