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R773

R773Mitral valve reconstruction - simple

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

A surgical procedure for the simple reconstruction of the mitral valve. This service includes annuloplasty, the surgical repair of the annulus of the mitral valve.

When to Use

  • Use R773 for isolated mitral valve annuloplasty or simple leaflet repair where the complexity does not warrant the higher-valued R774.
  • Select this code when the surgical objective is limited to restoring valve competence through annuloplasty or minor repair of a single leaflet segment.

Common Pitfalls

  • Billing R773 in conjunction with R774 for the same valve is considered unbundling; the Schedule of Benefits generally restricts payment to the most comprehensive procedure performed.
  • Failure to document the specific nature of the 'simple' repair can lead to audit scrutiny if the operative report describes complex multi-segment reconstruction or chordal replacement, which may be more accurately captured by other codes.

Billing Tips

  • Ensure that the operative report explicitly details the annuloplasty or simple repair steps to justify the use of R773 over more complex valve procedures.
  • Verify that the procedure start time is accurately recorded to correctly trigger after-hours or night-time premiums (E409A/E410A) if the surgery occurs outside standard daytime hours.
Provider Fee$1,648.25
Surgical Assistant Fee$225.18
Anaesthetist Fee$433.72
Non-Anaesthetist Fee$433.72

Effective: April 1, 2025

Since Oct 2005, this fee has increased 1.8% vs 51.4% CPI inflation
Category

Q. Cardiovascular Surgical Procedures

Subcategory

CARDIOVASCULAR SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Cardiovascular Surgical Procedures

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R773 – Mitral valve reconstruction - simple | OHIP Fee Schedule | SnapBill MD