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R762
R762 – Creation of ASD by thoracotomy or Sterling Edwards
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Creation of an atrial septal defect (ASD), which is a hole in the wall (septum) between the heart's two upper chambers (atria), performed via a thoracotomy or the Sterling Edwards procedure.
When to Use
- Use R762 for the surgical creation of an atrial septal defect via thoracotomy or the specific Sterling Edwards technique.
- Select R762 when the procedure is performed as a palliative measure to improve mixing in complex congenital heart defects.
Common Pitfalls
- Do not attempt to bill a second assistant for R762; it is not on the pre-approved list and requires a formal letter of justification to a medical consultant.
- Avoid confusing R762 with percutaneous or catheter-based interventions, as this code is specifically for open thoracotomy or the Sterling Edwards procedure.
Billing Tips
- Always apply the appropriate age-based surgical premium (e.g., AGE_PREMIUM_UNDER_1Y) to both the surgeon and assistant fees, as this procedure is frequently performed on pediatric patients.
- Ensure that if the procedure is non-elective and performed after hours, you correctly append the E409A or E410A premium to the procedural fee to maximize reimbursement.
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