All codes
R852
R852 – Insertion of peritoneal cannula by laparotomy or laparoscopy
OHIP Radiology Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
A surgical procedure for the insertion of a peritoneal cannula, which can be performed either through an open abdominal incision (laparotomy) or a minimally invasive technique (laparoscopy). This service is listed under the Peritoneal dialysis subsection of the Schedule.
When to Use
- Use R852 for the primary insertion of a peritoneal dialysis catheter via either open laparotomy or laparoscopic approach.
- Use R852 when the procedure is performed as a standalone therapeutic intervention for establishing peritoneal access.
Common Pitfalls
- Do not bill E860 in conjunction with R852, as it is explicitly restricted by the Schedule of Benefits.
- Avoid billing Z552, Z553, or S312 with R852, as these are disallowed and will trigger a claim rejection.
- Ensure the procedure is not miscoded as a diagnostic laparoscopy (G330/G331) when the primary intent and outcome is the placement of the dialysis cannula.
Billing Tips
- If the procedure is performed on a patient under 16 years of age, ensure the appropriate age-based premium is applied to the R852 fee to maximize reimbursement.
- For non-elective procedures performed during after-hours or night shifts, apply the applicable E409 or E410 premium to the R852 fee, provided the criteria for non-elective status are met.
Provider Fee$352.50
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Surgical
Code Classes
Diagnostic and Therapeutic Procedures, Digestive System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.