What is OHIP billing code R758?

R758 is "Resection coarctation - adolescent or adult", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R758 pay?

The current OHIP fee for R758 is $1079.80, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R758 to OHIP?

R758 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R758 claims against the Schedule of Benefits rules before submission.

What codes are related to R758?

Codes related to R758 in the Schedule of Benefits include R756, R757, R759.

All codes

R758

R758 – Resection coarctation - adolescent or adult

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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Surgical procedure involving the resection of a coarctation of the aorta in an adolescent or adult patient. As defined in the Schedule of Benefits, an adolescent is a person 16 or 17 years of age, and an adult is a person 18 years of age and older (). This is a major surgical procedure typically performed in a hospital setting.

When to Use

Use R758 specifically for the surgical resection of aortic coarctation in patients aged 16 years and older.
Use this code for elective or urgent repair of coarctation in adolescents and adults, distinguishing it from pediatric codes like R756 or R757 which apply to younger patients.

Common Pitfalls

Billing R758 for patients under 16 years of age, which will result in automatic rejection; ensure the patient's age at the time of service is 16 or greater.
Attempting to bill for a second surgical assistant without prior authorization; R758 is not pre-approved for multiple assistants and requires a written justification to the Ministry.
Incorrectly applying trauma premiums (E420) alongside after-hours premiums (E409/E410); these are mutually exclusive and cannot be claimed on the same service.

Billing Tips

Ensure the surgical assistant uses R758B and the anaesthesiologist uses R758C to correctly link their services to the base R758 procedure for proper unit calculation.
If the procedure is performed as an emergency, remember to append the appropriate ASA E (E020C) and relevant ASA status codes to the anaesthesia claim to maximize unit recovery.

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Provider Fee$1,079.80

Surgical Assistant Fee$167.83

Anaesthetist Fee$319.20

Non-Anaesthetist Fee$319.20

Effective: April 1, 2026

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