What is OHIP billing code R786?

R786 is "Iliac repair to include internal iliac aneurysm", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R786 pay?

The current OHIP fee for R786 is $805.65, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R786 to OHIP?

R786 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R786 claims against the Schedule of Benefits rules before submission.

What codes are related to R786?

Codes related to R786 in the Schedule of Benefits include R783, R784, R785, R814, R858, R859, E986, R937.

All codes

R786

R786 – Iliac repair to include internal iliac aneurysm

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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This service covers the surgical repair of the iliac artery. The procedure specifically includes the management and repair of an internal iliac aneurysm. Payment for this procedure is based on a unit system, with separate calculations for the surgeon, assistant, and anaesthesiologist. Services of a second assistant are payable for this procedure without requiring special authorization from a medical consultant as per .

When to Use

Use R786 when performing a surgical repair of the iliac artery that specifically includes the management and repair of an internal iliac aneurysm.
Select R786 instead of general vascular repair codes like R783 or R784 when the internal iliac component is the primary focus of the surgical intervention.

Common Pitfalls

Failing to document the specific involvement of the internal iliac aneurysm, which is a requirement for the validity of the R786 code.
Attempting to bill R786 alongside other vascular repair codes for the same anatomical site, which may trigger a rejection for unbundling.
Incorrectly assuming that a second assistant requires prior approval; R786 explicitly allows for a second assistant without medical consultant authorization.

Billing Tips

Ensure the operative report explicitly details the internal iliac aneurysm repair to support the use of R786 over lower-valued vascular codes.
When utilizing a second assistant, bill the service clearly to reflect the specific allowance provided under GP90 to avoid manual review delays.

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Provider Fee$805.65

Surgical Assistant Fee$125.10

Anaesthetist Fee$154.90

Non-Anaesthetist Fee$154.90

Effective: April 1, 2025

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