R783 – Aorto-Iliac repair including common iliac repair (uni- or bilateral)
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Aorto-Iliac repair, including common iliac repair (uni- or bilateral) is a cardiovascular surgical procedure listed in the Schedule of Benefits. The service is eligible for surgeon (A), assistant (B), and anaesthetist (C) fees. The anaesthesia fee is calculated based on 17 base units plus time units. The assistant fee is calculated based on 10 base units plus time units.
When to Use
- Use R783 for elective or non-elective aorto-iliac repair involving the common iliac arteries, distinguishing it from isolated abdominal aortic aneurysm repairs like R802.
- Select R783 when the surgical approach specifically addresses the aorto-iliac segment, regardless of whether the iliac repair is performed unilaterally or bilaterally.
Common Pitfalls
- Failing to append E626 when the inferior mesenteric artery is concurrently implanted, as this is a distinct flat-fee add-on not included in the base R783 fee.
- Neglecting to bill E986 when a suprarenal or supraceliac cross-clamp is utilized; this is a common oversight that results in lost revenue for the increased complexity of the procedure.
- Attempting to stack E420 (Trauma Premium) with after-hours premiums (E409, E410), which is prohibited by the Schedule of Benefits.
Billing Tips
- Always verify the start time of the procedure to accurately apply E409 or E410, as these premiums are triggered by the commencement time rather than the duration of the surgery.
- Ensure the surgical assistant and anaesthetist are aware of their respective base units (10 and 17) to ensure their claims align with the primary procedure R783 for audit consistency.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
Anaesthesia: 17 base units. Surgical Assistant: 10 base units.
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