R808 – Femoral aneurysm - reconstruction or excision with graft
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service covers the reconstruction or excision and grafting of a femoral aneurysm. The fee is for the surgical procedure ('A' suffix) and includes pre-operative and post-operative care as defined in the Schedule. Services may also be claimed by an assistant ('B' suffix) and an anaesthesiologist ('C' suffix), with fees calculated based on basic and time units. This service is subject to general rules for surgical procedures, including supervision requirements when rendered by a medical trainee as per -.
When to Use
- Use R808 for the definitive surgical repair or excision of a femoral artery aneurysm involving the placement of a prosthetic graft.
- Select R808 when the procedure involves open surgical reconstruction, distinguishing it from endovascular repair codes which are billed separately.
Common Pitfalls
- Do not bill R808 for simple femoral artery embolectomy or thrombectomy, as these are distinct procedures with different fee codes.
- R808 does not automatically qualify for a second surgical assistant; billing for one without prior medical consultant authorization will lead to rejection.
- Ensure the procedure is not miscoded as a general vascular bypass if the primary intent and surgical focus is the management of the femoral aneurysm itself.
Billing Tips
- If the procedure is performed as an emergency, ensure the appropriate after-hours premium (E409 or E410) is appended to the base fee to maximize the procedural claim.
- When documenting for audit purposes, clearly specify the anatomical extent of the aneurysm and the type of graft used to support the necessity of the R808 code over simpler vascular interventions.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
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