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R810
R810 – Popliteal aneurysm
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Surgical procedure for a popliteal aneurysm. This is a surgical service listed under Cardiovascular Surgical Procedures. It includes eligibility for surgeon (suffix A), assistant (suffix B), and anaesthesiologist (C) services. Assistant services are calculated with 7 base units plus time units. Anaesthesia services are calculated with 10 base units plus time units.
When to Use
- Use R810 for the definitive surgical repair of a popliteal artery aneurysm, such as bypass grafting or interposition grafting.
- Select R810 when the procedure is specifically focused on the popliteal segment, distinguishing it from more proximal femoral or distal tibial revascularizations.
Common Pitfalls
- Billing R810 alongside R812 or R813 for the same anatomical segment is considered unbundling and will lead to claim rejection.
- Failure to document the Injury Severity Score (ISS) in the medical record when claiming the E420 trauma premium will result in an automatic audit recovery.
Billing Tips
- Ensure that assistant (suffix B) and anaesthesiologist (suffix C) claims are submitted with the same service date and procedure code to avoid processing delays.
- When performing emergency surgery, verify if the case qualifies for E409 or E410 premiums, as these provide significant percentage increases to the base fee compared to standard elective billing.
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