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R767
R767 – Tibial - second surgeon
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
This procedure code represents the surgical service provided by the second surgeon during an in-situ saphenous vein arterial bypass to the tibial artery. It is specifically used when two vascular surgeons are required to perform the operation. The first surgeon bills R766 for their component of the procedure.
When to Use
- Use R767 when a second vascular surgeon is required to assist in an in-situ saphenous vein arterial bypass to the tibial artery, specifically where the complexity necessitates two surgeons rather than a surgeon and an assistant.
- This code is the exclusive billing mechanism for the second surgeon's component of the R766 procedure; do not attempt to bill assistant units for this service.
Common Pitfalls
- Attempting to bill R767B for surgical assistant services will result in rejection, as the fee schedule assigns a nil value to assistant units for this procedure.
- Submitting R767 without a corresponding R766 claim from the primary surgeon will trigger an automatic audit or rejection, as the codes are strictly linked.
- Billing R767 in conjunction with R804 is prohibited; ensure the surgical team structure aligns with the specific requirements of the R766/R767 pairing.
Billing Tips
- Ensure the primary surgeon submits R766 on the same date of service to validate the R767 claim for the second surgeon.
- If the procedure qualifies for after-hours premiums (E409 or E410), apply them to the R767 fee to maximize the claim value for the second surgeon's time.
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