R769 – Pulmonary artery banding - with pressure studies by anaesthesiologist, extra/hour
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
R769 is an add-on service payable to an anaesthetist who performs pressure studies during a pulmonary artery banding procedure (R768). This service provides 6 additional anaesthesia units for each hour spent performing the pressure studies. These units are added to the basic and time units for the primary surgical anaesthesia (R768C) when calculating the total anaesthetic fee.
When to Use
- Use R769 exclusively when you are performing active pressure monitoring and hemodynamic assessment during a pulmonary artery banding procedure (R768).
- Claim this code to account for the additional 6 units per hour when the complexity of the pressure studies extends the anaesthetic management beyond standard R768C requirements.
Common Pitfalls
- Do not bill R769 as a standalone service; it must be linked to the primary anaesthesia claim (R768C) to avoid immediate rejection.
- Avoid claiming R769 for routine intraoperative monitoring; it is strictly reserved for the specific pressure studies associated with the banding procedure.
Billing Tips
- Ensure the total time spent on pressure studies is clearly documented in the anaesthesia record to justify the hourly units claimed under R769.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Procedure
Anaesthesiologists' Services, Cardiovascular Surgical Procedures
- with pressure studies by anaesthetist, extra/hour
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