What is OHIP billing code R752?

R752 is "Atrio-ventricular sequential pacemaker with permanent atrial and ventricular endocardial electrodes", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R752 pay?

The current OHIP fee for R752 is $454.55, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R752 to OHIP?

R752 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R752 claims against the Schedule of Benefits rules before submission.

What codes are related to R752?

Codes related to R752 in the Schedule of Benefits include Z744, Z781, Z751, Z782, E670, E671, R765, Z433.

All codes

R752

R752 – Atrio-ventricular sequential pacemaker with permanent atrial and ventricular endocardial electrodes

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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Performs the implantation of an atrio-ventricular sequential pacemaker with permanent atrial and ventricular endocardial electrodes. This is a major surgical procedure and is eligible for surgeon (R752A), assistant (R752B), and anaesthetist (R752C) fees. The fee for the assistant and anaesthetist is calculated using base units plus time-based units as specified in the General Preamble (-, -).

When to Use

Use R752 for the initial implantation of a dual-chamber (atrial and ventricular) permanent pacemaker system involving endocardial leads.
Select R752 when the clinical indication requires AV synchrony, distinguishing it from single-chamber ventricular pacing (R751) or simple generator changes (Z744).

Common Pitfalls

Do not bill R752 for simple generator replacements; use Z744 for generator-only procedures to avoid rejection for incorrect procedure complexity.
Ensure the procedure is not billed with lead-only revisions (Z781 or Z782), as R752 is specifically for the complete sequential system implantation.
Failure to document the specific endocardial nature of the leads can lead to audit scrutiny if the claim is flagged for review against R751.

Billing Tips

If performing this procedure as a re-operation after a previous sternotomy or thoracotomy (more than one month post-op), ensure you append E670 or E671 to the surgeon's claim to capture the additional complexity fee.
Always verify the patient's age at the time of the procedure to apply the correct age-based premium (e.g., AGE_PREMIUM_U16Y), as these are not automatically calculated by the system.

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Provider Fee$454.55

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

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