What is OHIP billing code R877?

R877 is "Abdominal aorta - repair or excision with graft - aneurysm with repair of iliac artery aneurysm (unilateral or bilateral)", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R877 pay?

The current OHIP fee for R877 is $2116.90, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R877 to OHIP?

R877 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R877 claims against the Schedule of Benefits rules before submission.

What codes are related to R877?

Codes related to R877 in the Schedule of Benefits include R802, R817.

All codes

R877

R877 – Abdominal aorta - repair or excision with graft - aneurysm with repair of iliac artery aneurysm (unilateral or bilateral)

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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This surgical procedure involves the repair or excision with a graft of an abdominal aortic aneurysm, which also includes the repair of an associated iliac artery aneurysm on either one side (unilateral) or both sides (bilateral). It is listed under the 'Abdominal aorta - repair or excision with graft' subsection of Cardiovascular Surgical Procedures.

When to Use

Use R877 when performing an open abdominal aortic aneurysm repair that specifically includes the concurrent repair of one or both iliac artery aneurysms.
Select R877 over R802 or R817 when the surgical plan necessitates addressing iliac involvement, as R877 is the specific code for the combined aortic and iliac pathology.

Common Pitfalls

Failing to append the E627 premium when the procedure is performed for a ruptured aneurysm, which is a common oversight for emergency vascular cases.
Attempting to bill R877 in conjunction with separate iliac repair codes; R877 is inclusive of the iliac repair, and unbundling will trigger a rejection.
Omitting the E986 add-on when a suprarenal or supraceliac cross-clamp is utilized, as this is a distinct, billable technical step for complex repairs.

Billing Tips

Always verify if the inferior mesenteric artery (IMA) requires reimplantation; if so, ensure E626 is added to the claim to capture the additional work.
Ensure that the operative report explicitly documents the extent of the iliac involvement to justify the use of R877 over the more generic R802 or R817.

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Provider Fee$2,116.90

Specialist Fee$0.00

Surgical Assistant Fee$125.10

Anaesthetist Fee$263.33

Non-Anaesthetist Fee$263.33

Effective: April 1, 2025

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