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R750
R750 – Open biopsy of pericardium and drainage
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Open biopsy of pericardium and drainage (transthoracic or epigastric) is a surgical procedure. The listed fee is for the surgeon's service (suffix A). Assistant (suffix B) and anaesthetist (suffix C) services are also payable and calculated based on base units plus time units. The base units for both the assistant and anaesthetist are 13.
When to Use
- Use R750 for an open surgical approach to the pericardium for biopsy and drainage, specifically when a transthoracic or epigastric incision is required.
- Select R750 over percutaneous procedures like R748 (pericardial aspiration) when the clinical necessity dictates an open surgical window for biopsy or definitive drainage.
Common Pitfalls
- Billing R750 with a second surgical assistant without prior authorization will result in an automatic rejection, as it is not on the pre-approved list for multiple assistants.
- Confusing R750 with percutaneous drainage codes (e.g., R748) will lead to audit discrepancies; ensure the operative report clearly describes an open surgical incision.
Billing Tips
- Always document the specific surgical approach (transthoracic or epigastric) in the operative note to support the use of this open procedure code over less invasive alternatives.
- Ensure the assistant and anaesthetist utilize the correct base units (13) when calculating their respective claims to avoid processing delays.
Provider Fee$317.85
Surgical Assistant Fee$162.63
Anaesthetist Fee$201.37
Non-Anaesthetist Fee$201.37
Effective: April 1, 2025
Since Apr 2004, this fee has increased 0.0% vs 57.0% CPI inflation
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
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