All codes
R896
R896 – R896
OHIP Radiology Code · Schedule of Benefits
open abdominal aortic repair (tube graft or endarterectomy)– first surgeon
When to Use
- Use R896 when performing an open abdominal aortic repair as the primary surgeon in a team-based approach where a second surgeon is required for the procedure.
- Select R896 specifically for tube graft placement or endarterectomy when the complexity necessitates a two-surgeon billing structure rather than the single-surgeon R802.
Common Pitfalls
- Billing R896 alongside R802 will trigger an automatic rejection, as R802 is strictly for single-surgeon procedures and is incompatible with the two-surgeon billing framework.
- Failing to ensure the second surgeon bills R897 for the same encounter will often trigger an audit or claim review, as the Ministry expects both components of the two-surgeon procedure to be submitted.
Billing Tips
- Always coordinate with the assisting surgeon to ensure they bill R897, as the Ministry reconciles these two codes to validate the two-surgeon surgical claim.
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