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R876
R876 – Valve sparing aortic root replacement or remodelling
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
Valve sparing aortic root replacement or remodelling is a major cardiovascular surgical procedure on the aortic valve and root.
When to Use
- Use R876 specifically for valve-sparing aortic root replacement (e.g., David procedure) or remodelling (e.g., Yacoub procedure) where the native aortic valve is preserved.
- Do not use R876 for standard aortic valve replacement (AVR) procedures, which are billed under separate codes like R738.
Common Pitfalls
- Billing R876 in conjunction with other valve procedures without applying the 85% reduction rule for additional valves as per the Schedule of Benefits.
- Failing to document the specific technique (remodelling vs. replacement) which is required to justify the use of R876 over other aortic root procedures.
Billing Tips
- Ensure that the assistant fee is calculated correctly, noting that R876 allows for a second assistant without prior medical consultant authorization.
Provider Fee$2,230.75
Surgical Assistant Fee$232.38
Anaesthetist Fee$446.88
Non-Anaesthetist Fee$446.88
Effective: April 1, 2026
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
Multivalvular replacement - the fee will be that for the major valve replaced plus 85% of the fee for the additional valve or valves.
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