All codes
R851
R851 – Bypass graft for haemodialysis - synthetic
OHIP Radiology Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Creation of a synthetic bypass graft for haemodialysis, a surgical procedure to implant a synthetic tube connecting an artery to a vein for dialysis access.
When to Use
- Use R851 specifically for the initial creation of an arteriovenous synthetic graft (e.g., PTFE graft) for hemodialysis access.
- Select R851 when the procedure involves a synthetic conduit, as opposed to R840 which is reserved for native arteriovenous fistula creation.
Common Pitfalls
- Billing R851 in conjunction with R827 (thrombectomy of graft) is a common audit trigger; these are distinct procedures and should not be billed as a single event.
- Failure to document the specific synthetic material used can lead to claim rejection if the Ministry audits for the appropriateness of the R851 code versus native fistula codes.
Billing Tips
- If an assistant is medically necessary for this procedure, you must submit a written request to the Ministry for authorization under M400B, as an assistant is not automatically eligible for R851.
Provider Fee$482.70
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
Team benefits to include listed items. This does not include preliminary investigation of the case.
Haemodialysis to include haemofiltration, haemoperfusion.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.