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R853
R853 – Insertion, chronic by trocar
OHIP Radiology Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
Insertion of a Tenckhoff type peritoneal catheter, chronic, by trocar.
When to Use
- Use R853 specifically for the percutaneous insertion of a Tenckhoff catheter using a trocar technique for chronic peritoneal dialysis access.
- Select R853 when the procedure is performed as a standalone surgical intervention rather than as part of a more extensive open surgical placement (which would fall under R854).
Common Pitfalls
- Billing R853 in conjunction with R854 is a common rejection trigger, as these are considered mutually exclusive methods of catheter insertion.
- Failure to document the trocar technique specifically can lead to audit scrutiny if the procedure is later reclassified as an open surgical placement (R854) which carries a different fee structure.
Billing Tips
- Ensure the operative report explicitly states 'trocar technique' to justify the use of R853 over the open surgical code R854.
Provider Fee$154.40
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
Urogenital and Urinary Surgical Procedures, Diagnostic and Therapeutic Procedures
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