R761 – Implantation of cardioverter defibrillator - by transvenous approach
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the implantation of a cardioverter defibrillator (CD) via a transvenous approach. This service is eligible for surgeon (A), assistant (B), and anaesthetist (C) fees. The assistant and anaesthesia fees are calculated based on basic units plus time units. A note indicates that the induction of ventricular arrhythmia at the time of CD implant is payable at 85% of the fee for G259.
When to Use
- Use R761 for the primary implantation of a transvenous cardioverter defibrillator (ICD) system.
- Use this code when the lead placement and device pocket creation are performed via the transvenous route, distinguishing it from epicardial approaches.
Common Pitfalls
- Billing R761 alongside G259 without applying the 85% reduction rule specified in the fee schedule notes.
- Failing to document the specific transvenous approach, which can lead to audit scrutiny if the procedure is later reclassified as a more complex surgical intervention.
Billing Tips
- Ensure the induction of ventricular arrhythmia is billed as a separate line item at 85% of G259 to comply with the explicit payment adjustment rule for this procedure.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
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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