R832 – Aortic arch reconstruction - vertebral
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
R832 is a surgical procedure listed within the Cardiovascular Surgical Procedures section of the OHIP Schedule of Benefits. As per , this procedure is eligible for payment for a second surgical assistant without requiring special authorization from a medical consultant. The fee for the surgeon (suffix A) is for the procedure itself. Fees for the surgical assistant (suffix B) and anaesthetist (suffix C) are calculated based on a combination of basic units and time-based units, as detailed in the Surgical Assistants' Services (-) and Anaesthesiologists' Services (-) sections of the General Preamble.
When to Use
- Use R832 for the primary surgeon performing an aortic arch reconstruction involving the vertebral artery.
- Use this code when the procedure is performed as a standalone major cardiovascular intervention, distinct from other arch procedures like R830.
Common Pitfalls
- Failing to document the specific involvement of the vertebral artery, which is required to distinguish R832 from other aortic arch reconstruction codes.
- Incorrectly billing for a second surgical assistant as an elective request; R832 is pre-approved for a second assistant under GP90, so no special authorization is needed.
Billing Tips
- Ensure the surgical assistant and anaesthetist claims are submitted with the correct suffixes (B and C respectively) to trigger the appropriate unit-based payment calculations.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
This code is part of a list of 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.
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