R857 – Interruption of bronchial collateral arteries - as sole procedure
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Interruption of one or more bronchial collateral arteries as a sole procedure. This is a major surgical service and includes all associated pre-operative and post-operative care as defined in the Schedule of Benefits. See also E663 for this service when performed in conjunction with other cardiac surgery. The fee is payable only to the physician who rendered the service personally, or by the physician whose delegate rendered the service where delegation is authorized. Where more than one physician renders different components of a listed service, only one fee is payable for that service.
When to Use
- Use R857 as the primary billing code when the interruption of bronchial collateral arteries is the sole, standalone surgical procedure performed.
- Use this code for isolated procedures involving the ligation or interruption of bronchial collaterals in patients with conditions like pulmonary sequestration or chronic inflammatory lung disease.
Common Pitfalls
- Do not bill R857 if the procedure is performed during a broader cardiac surgery; in those instances, you must use E663 instead.
- Attempting to bill R857 alongside other major surgical procedures will result in a rejection, as the code is strictly defined as a 'sole procedure' service.
Billing Tips
- Ensure the operative report clearly distinguishes the procedure as an isolated intervention to justify the use of R857 over integrated cardiac surgical codes.
Effective: April 1, 2025
Q. Cardiovascular Surgical Procedures
CARDIOVASCULAR SURGICAL PROCEDURES
Surgical
Cardiovascular Surgical Procedures
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