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R787
R787 – Femoro-anterior/posterial tibial/peroneal bypass graft - with saphenous or arm vein, with or without splicing
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for a femoro-anterior/posterior tibial/peroneal bypass graft performed with a saphenous or arm vein, which may or may not involve splicing. As noted on page of the Schedule, this service may be performed with or without endarterectomy, which is included in the fee for the service.
When to Use
- Use R787 for a femoro-anterior/posterior tibial or peroneal bypass graft utilizing an autologous saphenous or arm vein conduit.
- Use this code when the procedure includes a concurrent endarterectomy, as the endarterectomy is considered inclusive to the R787 fee.
Common Pitfalls
- Billing R787 on the same day as R878 (subintimal dissection) will result in a rejection, as these are mutually exclusive procedures.
- Failing to document the use of a composite graft when claiming E672, which is the only valid add-on for this specific bypass procedure.
Billing Tips
- Always append E672 to your claim if you are performing a composite femoral popliteal/tibial bypass using vein, PFPE, and dacron to capture the additional $133.40 flat fee.
- Ensure that if an assistant is required for this complex vascular procedure, you document the necessity clearly, especially if requesting authorization for a second assistant under GP90.
Provider Fee$1,265.00
Surgical Assistant Fee$125.10
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
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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