What is OHIP billing code R756?

R756 is "Resection coarctation - child", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R756 pay?

The current OHIP fee for R756 is $755.80, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R756 to OHIP?

R756 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R756 claims against the Schedule of Benefits rules before submission.

What codes are related to R756?

Codes related to R756 in the Schedule of Benefits include R757, R758.

All codes

R756

R756 – Resection coarctation - child

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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Surgical resection of a coarctation of the aorta performed on a patient defined as a child (2 years to and including 15 years of age). This surgical procedure, when billed with suffix 'A' (Surgeon), 'B' (Assistant), or 'C' (Anaesthesiologist), includes all respective constituent and common elements as defined in the Schedule of Benefits. See related codes for other age groups: R757 (infant) and R758 (adolescent or adult).

When to Use

Use R756 specifically for surgical resection of aortic coarctation in patients aged 2 to 15 years inclusive.
Select R756 over R757 when the patient has reached their second birthday, as R757 is strictly reserved for infants under 2 years of age.
Select R756 over R758 when the patient is 15 years old or younger, as R758 is intended for patients 16 years of age and older.

Common Pitfalls

Billing R756 for a patient who has turned 16; ensure the patient's age at the time of the procedure is verified against the 15-year limit to avoid rejection.
Failure to apply the correct age-based premium; ensure you append the 15% premium for patients aged 2-4 or the 10% premium for patients aged 5-15 to the surgeon, assistant, and anaesthetist fees.
Incorrectly billing R756 for patients under 2 years old, which will trigger a rejection as R757 is the mandatory code for that age cohort.

Billing Tips

Always verify the patient's exact age in years on the date of service to determine whether to apply the 15% (age 2-4) or 10% (age 5-15) age premium.
When billing for anaesthesia, remember to include E019C if the patient is between 1 and 8 years of age, as this is an eligible add-on to the base anaesthesia units for this procedure.

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Provider Fee$755.80

Surgical Assistant Fee$162.63

Anaesthetist Fee$309.80

Non-Anaesthetist Fee$309.80

Effective: April 1, 2025

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