What is OHIP billing code R862?

R862 is "Repair of lacerated major artery - by bypass or interposition graft", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R862 pay?

The current OHIP fee for R862 is $834.30, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R862 to OHIP?

R862 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R862 claims against the Schedule of Benefits rules before submission.

What codes are related to R862?

Codes related to R862 in the Schedule of Benefits include R790, R795.

All codes

R862

R862 – Repair of lacerated major artery - by bypass or interposition graft

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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Repair of a traumatic laceration of a major artery or microscopic repair of a digital artery (including patch angioplasty) by bypass or interposition graft. This is a surgical procedure listed in the Cardiovascular Surgical Procedures section of the Schedule of Benefits.

When to Use

Use R862 for the repair of a traumatic laceration of a major artery when an interposition graft or bypass is required to restore flow.
Use R862 for microscopic repair of a digital artery, which is specifically included in the code definition.
Use R862 instead of R790 or R795 when the repair technique specifically involves a bypass or interposition graft rather than simple primary repair or patch angioplasty alone.

Common Pitfalls

Failure to document the Injury Severity Score (ISS) in the medical record will result in the rejection of the E420 Trauma Premium.
Billing for a second surgical assistant without prior authorization or a supporting letter from the surgeon will lead to automatic rejection, as R862 is not on the pre-approved list for second assistants.
Attempting to bill E679 for a vein graft harvest when the saphenous vein is available will result in a claim audit or recovery.

Billing Tips

Ensure the E420 Trauma Premium is submitted on the same claim as the R862 procedure to avoid processing errors.
If a vein graft is required, verify that the saphenous vein is unavailable before billing E679 to ensure compliance with the specific eligibility criteria.

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Provider Fee$834.30

Surgical Assistant Fee$125.10

Anaesthetist Fee$154.90

Non-Anaesthetist Fee$154.90

Effective: April 1, 2025

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