R834 – I.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.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
Anaesthesia basic units: 10.
Surgical Assistant basic units: 6.
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