What is OHIP billing code R868?

R868 is "High ligation and stripping of long saphenous vein with groin dissection", an OHIP Cardiovascular Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does R868 pay?

The current OHIP fee for R868 is $200.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R868 to OHIP?

R868 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R868 claims against the Schedule of Benefits rules before submission.

What codes are related to R868?

Codes related to R868 in the Schedule of Benefits include Z745, R869, R837, R844, R842, E653.

All codes

R868

R868 – High ligation and stripping of long saphenous vein with groin dissection

OHIP Cardiovascular Surgical Procedures Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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High ligation and stripping of the long saphenous vein with groin dissection. This surgical service for the treatment of varicose veins involving the long saphenous vein is only insured when all of the following conditions are met: • There is incompetence (i.e. reflux) at the saphenofemoral junction or saphenopopliteal junction that is documented by Doppler or duplex ultrasound scanning. • The patient has failed a trial of conservative management of at least three months duration. • The patient has at least one of the conditions described in either a. or b. below: • a. One or more of the following signs of chronic venous insufficiency: • Eczema • Pigmentation • Lipodermatosclerosis • Ulceration • b. Varicosities that result in one or more of the following: • Ulceration secondary to venous stasis • One or more significant hemorrhages from a ruptured superficial varicosity • Two or more episodes of minor hemorrhage from a ruptured superficial varicosity • Recurrent superficial thrombophlebitis • Stasis dermatitis • Varicose eczema • Lipodermosclerosis • Unremitting edema or intractable pain interfering with activities of daily living and requiring chronic analgesic medication.

Incompetence (i.e. reflux) at the saphenofemoral junction or saphenopopliteal junction must be documented by Doppler or duplex ultrasound scanning.

The medical record must document that the patient has failed a trial of conservative management of at least three months duration.

The medical record must document the presence of at least one of the qualifying signs of chronic venous insufficiency or complications from varicosities listed under required patient conditions.

Z745 R869 R837 R844 R842 E653

Conservative management includes analgesics and prescription gradient support compression stockings.

Significant hemorrhage refers to a hemorrhage related to varicose veins that requires iron therapy or transfusion.

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