All codes
R812
R812 – Peripheral arteries other than listed - aneurysm
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
This service covers the surgical treatment of an aneurysm found in a peripheral artery that is not specified by other, more precise codes in the Schedule of Benefits. It includes the anaesthesia and surgical assistant services required for the procedure, which are calculated based on base and time units.
When to Use
- Use R812 for the surgical repair of a peripheral artery aneurysm that does not have a specific, dedicated code in the Schedule of Benefits, such as those involving non-aortic or non-iliac vessels.
- Select this code when the procedure involves a peripheral artery that is not covered under more specific codes like R810 (Femoral) or R813 (Popliteal).
Common Pitfalls
- Billing R812 when a more specific code exists for the anatomical site, which will result in a rejection or audit recovery for incorrect coding.
- Failing to document the specific artery treated, which is essential to justify why a general 'other' code like R812 was used instead of a site-specific alternative.
Billing Tips
- Ensure that if multiple procedures are performed during the same anaesthetic, you identify the major procedure to correctly apply the base units for anaesthesia and surgical assistance as per the payment adjustment rules.
Provider Fee$410.45
Surgical Assistant Fee$87.57
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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