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R741
R741 – Coronary artery endarterectomy and/or gas endarterectomy
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Coronary artery endarterectomy and/or gas endarterectomy is a surgical procedure listed under Cardiovascular Surgical Procedures for the Heart and Pericardium. This operation involves the surgical removal of atherosclerotic plaque from the inner lining of a coronary artery. The procedure is eligible for payment for a surgeon (suffix A), an assistant (suffix B), and an anaesthetist (suffix C).
When to Use
- Use R741 when performing a direct surgical removal of atherosclerotic plaque from the coronary artery, distinct from standard coronary artery bypass grafting (CABG) procedures.
- Use R741 specifically for gas endarterectomy techniques where pressurized gas is used to dissect the plaque from the arterial wall.
Common Pitfalls
- Do not bill R741 in conjunction with standard coronary artery bypass codes (e.g., R712, R713) unless the endarterectomy is a distinct, documented procedure on a separate vessel or segment.
- Failure to document the specific technique (manual vs. gas endarterectomy) can lead to audit scrutiny regarding the necessity and complexity of the procedure.
Billing Tips
- Ensure that surgical assistant (suffix B) and anaesthetist (suffix C) claims are submitted with the same procedure date and start time to ensure all associated premiums (e.g., E400 series) are processed correctly.
Provider Fee$730.70
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
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