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R841 – Obliteration of A.V. fistula

OHIP Cardiovascular Surgical Procedures Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

R841 is a cardiovascular surgical procedure for the obliteration of an arterio-venous (A.V.) fistula. It is listed in the Cardiovascular Surgical Procedures section of the Schedule of Benefits under the Veins and Anastomosis subheadings. The fee for this service can be augmented with age-related premiums for patients under 16, after-hours premiums for the surgeon and anaesthetist, and a trauma premium under specific circumstances. The anaesthesia component of this service is calculated using a combination of base and time units.

Where no basic unit is listed opposite the service in the column headed with 'Asst' and where 'nil' is not listed opposite the service in the column headed with 'Asst', the number of basic units is that listed opposite the service under the column headed with 'Anae'. This type of service is only eligible for payment upon authorization by a medical consultant following submission of a letter from the surgeon outlining the reason the assistant was required. Submit claims for this type of service using fee code M400B.

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