R795 – Repair of lacerated major artery or microscopic repair of digital artery
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Repair of lacerated major artery or microscopic repair of digital artery (including patch angioplasty). This procedure is listed under traumatic repairs of arteries.
When to Use
- Use R795 for the repair of a traumatic laceration to a major artery where no other specific anatomical repair code is applicable.
- Use R795 for microscopic repair of a digital artery, which is distinct from standard digital nerve or tendon repairs.
- Use R795 when performing patch angioplasty specifically for a traumatic arterial laceration.
Common Pitfalls
- Do not bill R795 in addition to Z402 (arteriotomy), as Z402 is restricted when performed with major cardiovascular surgery.
- Avoid using R795 for femoral artery repairs covered by R784 or R785, which are inclusive of repairs up to the first major branch of the profunda femoris.
- Failure to document the Injury Severity Score (ISS) in the medical record will result in the rejection of the E420 trauma premium.
Billing Tips
- If a vein graft is required from a remote site due to saphenous vein unavailability, ensure E679 is added to the claim to capture the additional work.
- Always verify if the procedure qualifies for E409 or E410 after-hours premiums, as these are significant percentage-based increases on the base fee of $598.40.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
Common femoral artery repair (e.g. R784, R785) includes repair to the profunda femoris artery as far as the first major branch.
If the repair extends beyond the first major branch of the profunda femoris artery, R815 may be claimed in addition.
If the repair extends beyond the second major branch of the profunda femoris artery, R856 instead of R815 may be claimed in addition.
For procedures involving the application of a complete aortic cross clamp, the anaesthetic basic fee will depend on: a. the level of application of the cross clamp; and b. the surgical exposure and extent of the aortic repair
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