R760 – Regional isolation perfusion
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Regional isolation perfusion e.g. iliac. This is a cardiovascular surgical procedure listed under the 'Arteries' and 'Cannulation for infusion chemotherapy' subheadings. It is eligible for surgeon (<suffix>A</suffix>), assistant (<suffix>B</suffix>), and anaesthetist (<suffix>C</suffix>) services.
When to Use
- Use R760 for regional isolation perfusion procedures, such as iliac isolation, specifically when performing isolated limb chemotherapy infusion.
- Select R760 when the procedure involves the cannulation of major arteries for the purpose of regional perfusion, distinct from standard vascular bypass or reconstruction codes like R775 or R776.
Common Pitfalls
- Do not bill Z402 (Arteriotomy) in addition to R760, as the Ministry explicitly restricts Z402 when performed alongside major cardiovascular surgical procedures.
- Attempting to bill for a second surgical assistant without prior written authorization will result in rejection, as R760 is not on the pre-approved list for multiple assistants.
Billing Tips
- If the procedure is non-elective and requires a special visit, ensure you apply the appropriate Special Visit Premium (e.g., C988B for assistants or C998C for anaesthetists) in addition to the base R760 fee to maximize eligible revenue.
- When performing this procedure on patients under 16 years of age, ensure the relevant age-based surgical premium is applied to the surgeon, assistant, and anaesthetist claims to reflect the increased complexity.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
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