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R807

R807Splenic artery aneurysm - reconstruction or excision with graft

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

This surgical procedure addresses an aneurysm of the splenic artery through either reconstruction of the artery or excision of the aneurysm followed by the placement of a graft to restore blood flow.

When to Use

  • Use R807 when performing a formal excision of a splenic artery aneurysm with interposition grafting to maintain splenic perfusion.
  • Select R807 over simple ligation codes when the clinical priority is the preservation of the spleen through vascular reconstruction.

Common Pitfalls

  • Billing R807 in conjunction with a splenectomy code (e.g., S107) without clear documentation of separate, distinct surgical indications, which may trigger a rejection for unbundling.
  • Failing to apply the appropriate surgical assistant fee when the complexity of the vascular reconstruction requires a second surgeon, as this code is eligible for secondary assistance.

Billing Tips

  • Ensure the operative report explicitly details the graft type and the reconstruction technique to justify the R807 fee over less complex vascular procedures.
Provider Fee$411.05
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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