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R755
R755 – Ligation or division patent ductus - adolescent or adult
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Performs the surgical ligation or division of a patent ductus arteriosus. This service is for patients who are adolescents (16 or 17 years of age) or adults (18 years of age and older). This is a cardiovascular surgical procedure listed in the Heart and Pericardium subsection of the Schedule. The anaesthesia fee includes 20 basic units and the assistant fee includes 13 basic units, as per page .
When to Use
- Use R755 specifically for the surgical ligation or division of a patent ductus arteriosus in patients aged 16 years or older.
- Use this code for elective or non-elective surgical correction in adolescents and adults, distinguishing it from R754 which applies to pediatric patients.
Common Pitfalls
- Billing R755 for a patient under 16 years of age will result in an automatic rejection; ensure the patient's age is verified against the Schedule requirements.
- Failure to document the specific surgical approach or the necessity of the procedure can lead to audit scrutiny regarding the appropriateness of the cardiovascular intervention.
Billing Tips
- Ensure that after-hours premiums (E409, E410) are applied correctly based on the exact start time of the procedure, as these significantly increase the procedural fee for non-elective cases.
Provider Fee$801.10
Surgical Assistant Fee$167.83
Anaesthetist Fee$319.20
Non-Anaesthetist Fee$319.20
Effective: April 1, 2026
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
Age Restriction
Adolescent or adult patient
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