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R776
R776 – Cannulation for infusion chemotherapy - hepatic artery
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Cannulation of the hepatic artery is a surgical procedure for inserting a catheter into the artery, typically to deliver regional infusion chemotherapy directly to the liver. This service is listed under Cardiovascular Surgical Procedures for arteries.
When to Use
- Use R776 specifically for the surgical cannulation of the hepatic artery for the purpose of establishing regional infusion chemotherapy access.
- Use this code when the procedure is performed as a distinct surgical intervention to facilitate long-term hepatic artery chemotherapy delivery.
Common Pitfalls
- Do not bill Z402 (arteriotomy) in conjunction with R776, as the Schedule of Benefits explicitly restricts this combination for major cardiovascular surgeries.
- Avoid using R776 for routine diagnostic angiography or percutaneous catheterizations, as it is intended for surgical cannulation procedures.
Billing Tips
- Ensure that if the patient meets the specific age criteria, you apply the corresponding age-based fee premium (e.g., under 1 year, 1-2 years) to the base fee of $287.05 to maximize the claim value.
- If the procedure is performed after hours or as an emergency, verify eligibility for E409 or E410 and ensure the claim reflects the non-elective status to avoid rejection.
Provider Fee$287.05
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
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