R830 – Aortic arch reconstruction - innominate
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
An unspecified surgical procedure listed within the Respiratory System section of the Schedule of Benefits. As a surgical service, it includes all common and specific elements for surgical procedures, assistance, and anaesthesia as defined in the General Preamble. This includes pre-operative evaluation, the procedure itself, and post-operative care. Key payment features for this code include: - Suffix 'A' for the surgeon, 'B' for the assistant, and 'C' for the anaesthetist. - Assistant and anaesthetist fees are calculated based on basic units plus time-based units. - Payment for a second assistant is permitted without prior authorization.
When to Use
- Use R830 specifically for the reconstruction of the innominate artery as part of an aortic arch repair procedure.
- Select this code when the surgical focus is the innominate artery segment; do not use it for general aortic arch repairs that do not involve this specific vessel.
Common Pitfalls
- Billing R830 alongside other major thoracic vascular codes without ensuring the 'major procedure' rule is followed for assistant and anaesthetist unit calculations.
- Failing to document the Injury Severity Score (ISS) when attempting to claim the E420 trauma premium, which leads to automatic rejection.
- Incorrectly applying after-hours premiums (E409/E410) to elective cases that were not delayed by an intervening surgical emergency.
Billing Tips
- Ensure the second assistant is billed using the appropriate suffix if the complexity of the R830 procedure necessitates additional support, as this is pre-authorized for this code.
- Verify the patient's exact age at the time of the procedure to automatically apply the correct age-based premium (e.g., under 30 days, under 1 year, etc.) to both the surgeon and assistant fees.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Respiratory Surgical Procedures
Services where a second assistant's services are payable and authorization is not required: E645, M111, M112, M117, M134, M142, P042, P051, P052, P056, P059, R008, R009, R013, R014, R015, R016, R055, R056, R064, R065, R067, R069, R134, R135, R136, R140, R182, R240, R241, R244, R326, R327, R334, R393, R438, R440, R441, R483, R487, R545, R553, R568, R593, R594, R617, R645, R701, R702, R704, R712, R713, R714, R715, R718, R726, R727, R728, R729, R733, R734, R735, R737, R738, R742, R743, R746, R747, R749, R764, R770, R771, R772, R785, R786, R799, R800, R801, R802, R803, R804, R811, R815, R817, R818, R830, R832, R858, R863, R870, R872, R874, R876, R877, R927, R929, R920, R930, S005, S007, S079, S090, S091, S092, S096, S098, S099, S120, S125, S189, S213, S214, S267, S270, S271, S274, S275, S294, S295, S298, S300, S321, S416, S429, S440, S441, S453, S454, S462, S484, S750, S758, S759, S816
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.