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R891 – Two Surgeon - ascending aorta – second surgeon

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

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Thoracic aorta aneurysm - repair or excision with graft; ascending aorta – second surgeon. This code is used when two surgeons are required to perform the repair or excision of an ascending thoracic aorta aneurysm using a graft.
The procedure must involve the repair or excision of an ascending thoracic aorta aneurysm with a graft.
The use of two surgeons must be medically necessary and documented in the operative report.
R890Ascending aorta – first surgeonR799Ascending aorta (single surgeon)E650Pump bypassE670Re-operation involving open heart procedures - following previous thoracotomyE671Re-operation involving open heart procedures - following previous sternotomyE667ruptured

The assistant fee for R891 is listed as 'nil' because the second surgeon's fee is intended to cover their entire surgical contribution.

If a third physician is required as an assistant, they bill R890B (18 basic units plus time).

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