What is OHIP billing code R806?

R806 is "Renal artery repair", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R806 pay?

The current OHIP fee for R806 is $867.35, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R806 to OHIP?

R806 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R806 claims against the Schedule of Benefits rules before submission.

What codes are related to R806?

Codes related to R806 in the Schedule of Benefits include R805.

All codes

R806

R806 – Renal artery repair

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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Performs the surgical repair of a renal artery. As a cardiovascular surgical procedure, payment is claimed using suffixes for the roles involved: - Suffix A (Surgeon): The listed fee for the surgical procedure itself. - Suffix B (Assistant): The assistant's fee is calculated based on the sum of base units and time units, multiplied by the assistant unit fee. For R806, the base units are 10 (see ). Time units are calculated per 15 minutes, with increasing value after the first hour and after 2.5 hours (see ). - Suffix C (Anaesthetist): The anaesthetist's fee is calculated based on the sum of base units and time units, multiplied by the anaesthesiologist unit fee. For R806, the base units are 10 (see ). Time units are calculated per 15 minutes, with increasing value after the first hour and after 1.5 hours (see ).

When to Use

Use R806 for the primary surgical repair of a renal artery, such as in cases of renal artery stenosis or complex revascularization.
Use R806 when performing arterial reconstruction in conjunction with the removal of an infected aortic graft (R858 or R859), as these are distinct and billable procedures.

Common Pitfalls

Attempting to bill a second surgical assistant without prior authorization; R806 is not on the pre-approved list, requiring a formal letter of justification to the Ministry.
Failing to document the Injury Severity Score (ISS) when attempting to claim the E420 trauma premium, which leads to automatic rejection.
Confusing R806 with R805; ensure the surgical approach and procedure description match the specific anatomical repair performed.

Billing Tips

Always verify the start time of the procedure to correctly apply after-hours premiums (E409, E410) or special visit premiums (C998B, C999B) for the assistant and anaesthetist.
When performing multiple procedures, ensure that R806 is clearly identified as the primary service to avoid incorrect application of surgical payment rules.

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Provider Fee$867.35

Surgical Assistant Fee$125.10

Anaesthetist Fee$154.90

Non-Anaesthetist Fee$154.90

Effective: April 1, 2025

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