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R888
R888 – Endovascular aneurysm repair using stent grafting – first surgeon
OHIP Radiology Code · Schedule of Benefits
Endovascular aneurysm repair using stent grafting – first surgeon
When to Use
- Use R888 when performing an endovascular aneurysm repair (EVAR) as the first surgeon in a two-surgeon team, where the complexity necessitates a second surgeon billing R889.
- Apply this code specifically for stent grafting procedures where the primary surgeon's role is distinct from the second surgeon's role during the same operative session.
Common Pitfalls
- Billing R888 without a corresponding R889 claim from the second surgeon will trigger a rejection, as the code is specifically designated for the two-surgeon billing model.
- Attempting to bill for catheter insertion or intraoperative imaging separately is a common error, as these are explicitly included in the R888 fee.
- Claiming E510 (branched/fenestrated) alongside E627 (ruptured aneurysm) is prohibited by the same-day restriction rules.
Billing Tips
- Ensure the claim is submitted with the suffix 'A' for the first surgeon, while the second surgeon must submit R889 with the suffix 'A' to ensure proper processing.
- Always append the appropriate premium code (E627, E510, or E509) to the R888 claim when the specific clinical criteria for those add-ons are met to maximize the surgical fee.
Provider Fee$1,172.30
Surgical Assistant Fee$129.10
Anaesthetist Fee$271.32
Non-Anaesthetist Fee$271.32
Effective: April 1, 2026
Service Type
Cardiovascular Surgical Procedures
Code Classes
Surgery
These services include insertion of all catheters including access catheters, interpretation of any images which may be taken at the time of the procedures.
Endovascular repair for abdominal aortic aneurysms is recommended for patients at high risk of perioperative morbidity or death from open surgical repair.
For open repair of abdominal aorta aneurysms, refer to page .
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