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R784

R784Aorto-Iliac repair plus unilateral common femoral repair

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

This service is for the surgical repair of the aorto-iliac artery system, including both common iliac arteries, plus an additional repair of one common femoral artery. It is an extension of the procedure described by R783. This is a major surgical procedure typically performed by a vascular or cardiac surgeon.

When to Use

  • Use R784 when performing an aorto-iliac repair that necessitates the additional repair of exactly one common femoral artery.
  • Select R784 over R783 when the surgical plan explicitly includes the unilateral femoral component, as R783 covers the aorto-iliac system only.

Common Pitfalls

  • Billing R784 in conjunction with other femoral repair codes will trigger a rejection for duplicate service; ensure the femoral component is captured within the R784 base fee.
  • Failure to document the specific involvement of the common femoral artery can lead to audit recovery if the claim is downgraded to R783.

Billing Tips

  • Always append E986 if a suprarenal or supraceliac aortic cross clamp is utilized, as this is a distinct flat-fee add-on specifically eligible with R784.
  • Ensure E626 is claimed if the inferior mesenteric artery is reimplanted, as this is a separate billable flat fee permitted alongside the R784 primary procedure.
Provider Fee$2,102.00
Specialist Fee$0.00
Surgical Assistant Fee$125.10
Anaesthetist Fee$263.33
Non-Anaesthetist Fee$263.33

Effective: April 1, 2025

Category

Q. Cardiovascular Surgical Procedures

Subcategory

CARDIOVASCULAR SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Cardiovascular Surgical Procedures

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