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R814
R814 – Aorto-Iliac repair - embolectomy or thrombectomy of bifurcation
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Aorto-Iliac repair - embolectomy or thrombectomy of bifurcation (aorta or graft)
When to Use
- Use R814 for the surgical removal of an embolus or thrombus specifically located at the aortic bifurcation or within an existing aorto-iliac graft bifurcation.
- Use R814 when performing an open embolectomy or thrombectomy procedure, distinguishing it from endovascular interventions which are billed under different codes.
Common Pitfalls
- Do not bill R814 in conjunction with more extensive aortic reconstruction codes (e.g., R783, R784) if the embolectomy is considered an integral part of the primary procedure, as this may be flagged as unbundling.
- Avoid billing R814 for simple peripheral embolectomies; ensure the documentation explicitly confirms the procedure occurred at the bifurcation of the aorta or graft to justify the specific code.
Billing Tips
- Ensure the operative report clearly details the bifurcation involvement; if the procedure extends into the iliac arteries, verify if additional codes are required or if the scope of R814 covers the extent of the work performed.
- Always confirm the non-elective status of the procedure to apply E409A or E410A premiums, as these significantly increase the base fee for urgent or emergency vascular interventions.
Provider Fee$461.50
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
Referral RequiredFrom: Physician, NursePractitioner, DentalSurgeon
All insured services must be documented in appropriate medical records, establishing that the service was provided, the service claimed is the one rendered, and it was medically necessary.
Obtaining and documenting appropriate patient consent is a common element of all insured services.
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