R751 – Implantation of epicardial electrode(s) plus implantation of pack
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service covers the surgical procedure for the implantation of epicardial electrode(s) and the corresponding pacemaker pack. The fee for the surgeon (suffix A) is a set procedural fee. Fees for the surgical assistant (suffix B) and anaesthesiologist (suffix C) are calculated based on a combination of base units and time units. Refer to the Surgical Assistants' Services () and Anaesthesiologists' Services () sections of the General Preamble for detailed calculation rules. This service is eligible for a second assistant without prior authorization ().
When to Use
- Use R751 when performing the primary implantation of epicardial electrodes and the associated pacemaker pulse generator as a single operative event.
- Use this code for patients where transvenous lead placement is contraindicated or anatomically impossible, necessitating an epicardial approach.
Common Pitfalls
- Do not bill R751 in conjunction with Z433 or Z435, as these codes represent separate lead or generator revisions that are not included in the primary implantation procedure.
- Avoid billing R751 if only the pacemaker pack is being replaced; use the appropriate Z-code for generator replacement to avoid claim rejection for duplicate service.
Billing Tips
- Ensure the second surgical assistant is documented and billed using the appropriate suffix, as R751 is specifically designated as eligible for a second assistant without prior authorization.
- When claiming after-hours premiums (E409/E410), ensure the procedure start time is clearly documented in the operative report to support the non-elective nature of the surgery.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
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