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R811

R811Mesenteric or celiac artery repair - aneurysm

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

Surgical procedure for the repair of a mesenteric or celiac artery aneurysm. The fee for the surgeon (suffix A) is a flat rate, while fees for the assistant (suffix B) and anaesthetist (suffix C) are calculated based on basic and time units.

When to Use

  • Use R811 specifically for the surgical repair of a mesenteric or celiac artery aneurysm when the primary intent is the aneurysm itself.
  • Select R811 over R815 or R817 when the pathology is localized to the mesenteric or celiac vessels rather than a more extensive aortic reconstruction.

Common Pitfalls

  • Billing R811 alongside more extensive vascular procedures (such as R815 or R817) without confirming if the procedure is considered a component part of the larger surgery, which may lead to rejection for unbundling.
  • Failing to document the specific artery involved, as generic descriptions often trigger manual review or audit for vascular surgical claims.

Billing Tips

  • Ensure the surgical assistant (suffix B) and anaesthetist (suffix C) use the basic units associated with R811 as the primary procedure when multiple procedures are performed under the same anaesthetic.
Provider Fee$410.85
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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