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R854
R854 – Removal of Tenckhoff type peritoneal catheter
OHIP Radiology Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
This service is for the removal of a Tenckhoff type chronic peritoneal catheter. It is listed as a surgical procedure under the Dialysis subsection. The fee for this procedure is for the surgeon's service (suffix A).
When to Use
- Use R854 specifically for the surgical removal of a chronic Tenckhoff peritoneal dialysis catheter when the patient is transitioning to hemodialysis or has a resolved infection.
- Select R854 when the catheter is removed as a standalone procedure, distinct from the initial insertion (R853).
Common Pitfalls
- Billing R854 in addition to an assessment code (e.g., A007) on the same day is often rejected; ensure the procedure is the primary service or use the appropriate diagnostic code to justify the visit if separate.
- Failing to append the correct suffix (A) for the surgeon's service will result in an automatic rejection of the claim.
Billing Tips
- If the removal is performed on an emergency basis after hours, ensure you attach the appropriate E-code premium (E409 or E410) to maximize the procedural fee, provided the non-elective criteria are met.
Provider Fee$63.10
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Surgical
Code Classes
Diagnostic and Therapeutic Procedures, Urogenital and Urinary Surgical Procedures
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