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R834

R834I.V.C. - transabdominal

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

R834 is a major surgical procedure involving the ligation of the inferior vena cava (I.V.C.) performed via a transabdominal approach. This service is eligible for suffix A (surgeon), B (assistant), and C (anaesthetist). Assistant services have 6 base units and anaesthesia services have 10 base units, with total fees calculated based on time units as per and .

When to Use

  • Use R834 specifically for open transabdominal ligation of the inferior vena cava, distinguishing it from endovascular procedures like R868 or R869.
  • Select R834 when the procedure is performed as a primary surgical intervention, rather than as a component of a more extensive vascular reconstruction or bypass procedure.

Common Pitfalls

  • Attempting to bill for a second surgical assistant without prior authorization; R834 is not on the pre-approved list and requires a letter of justification to a medical consultant.
  • 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; these are strictly reserved for non-elective procedures or elective cases delayed by emergencies.

Billing Tips

  • Ensure the surgical assistant and anaesthetist bill their respective base units (6 and 10) correctly alongside the R834 claim to avoid processing delays.
  • When claiming age-based premiums, ensure the patient's date of birth is accurately reflected in the claim, as these are calculated automatically based on the patient's age at the time of service.
Provider Fee$446.50
Surgical Assistant Fee$75.06
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

Anaesthesia basic units: 10.

Surgical Assistant basic units: 6.

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