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R785

R785Aorto-Iliac repair plus bilateral common femoral repair

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

R785 is the billing code for an Aorto-Iliac repair that also includes the repair of the bilateral common femoral arteries. This surgical procedure is eligible for assistant and anaesthesia fees based on basic and time units. Additional procedures such as E626 (implantation of inferior mesenteric artery) and E986 (suprarenal or supraceliac aortic cross clamp) may be payable. Payment for a second surgical assistant is allowed without special authorization.

When to Use

  • Use R785 specifically when the surgical plan involves an aorto-iliac repair combined with the repair of both the left and right common femoral arteries.
  • Do not use R783 or R784 for this procedure; R785 is the comprehensive code for the combined aorto-iliac and bilateral common femoral repair.

Common Pitfalls

  • Failing to bill E986 when a suprarenal or supraceliac aortic cross clamp is utilized, as this is a separate flat-fee add-on not included in the base R785 fee.
  • Overlooking the eligibility for a second surgical assistant; R785 allows for a second assistant without prior medical consultant authorization, which is often missed in complex vascular cases.

Billing Tips

  • Ensure E626 is appended to the claim if the inferior mesenteric artery is implanted, as this is a distinct payable service when performed alongside R785.
Provider Fee$2,327.50
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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