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R753
R753 – Implantation of cardioverter defibrillator by thoracotomy
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Implantation of cardioverter (CD) defibrillator by thoracotomy.
When to Use
- Use R753 when the cardioverter defibrillator implantation requires a formal thoracotomy approach, distinguishing it from transvenous lead systems typically billed under other cardiac rhythm management codes.
- Select this code for epicardial lead placement or when anatomical constraints necessitate open chest access for device implantation.
Common Pitfalls
- Billing R753 for standard transvenous ICD implantation is a common audit trigger; ensure the operative report explicitly describes the thoracotomy approach.
- Failure to apply the 85% reduction for G259 (induction of ventricular arrhythmia) when performed during the same operative session will result in claim adjustment or rejection.
Billing Tips
- Always document the specific thoracotomy approach in the operative note to support the higher complexity compared to standard percutaneous procedures.
- Ensure that any applicable age-based premiums are calculated on the base fee of $720.30 before adding any after-hours or trauma premiums.
Provider Fee$720.30
Surgical Assistant Fee$75.06
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
Induction of ventricular arrhythmia at time of CD implant payable at 85%. See note re: G259 in Diagnostic and Therapeutic Procedures.
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