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R823
R823 – Spleno-renal anastomosis - abdominal approach
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Spleno-renal anastomosis via an abdominal approach. This is a surgical procedure to create a shunt between the splenic vein and the left renal vein.
When to Use
- Use R823 specifically for a distal or proximal spleno-renal shunt performed via an open abdominal incision to manage portal hypertension.
- Select R823 when the procedure involves a direct vascular anastomosis between the splenic vein and the left renal vein, distinguishing it from non-shunt procedures like simple splenectomy.
Common Pitfalls
- Billing R823 in conjunction with other major abdominal vascular procedures without ensuring the services are distinct and not considered part of the global surgical package.
- Failing to document the specific anatomical approach; R823 is strictly for the abdominal approach, whereas other codes may apply to different surgical routes.
Billing Tips
- Ensure that if the procedure is performed on an emergency basis, you append the appropriate after-hours or emergency premium (e.g., E409 or E410) to the base fee, as these are not automatically calculated.
- Verify that the surgical assistant and anaesthesiologist claims are linked to the R823 procedure code to ensure the correct application of age-based and complexity-based add-on units.
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