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R899

R899Thoraco-abdominal aneurysm – second surgeon

OHIP Radiology Code · Schedule of Benefits

Thoraco-abdominal aneurysm - repair or excision with graft, performed as a two-surgeon procedure (second surgeon).

When to Use

  • Use R899 when the complexity of a thoraco-abdominal aneurysm repair necessitates a second primary surgeon to assist in the procedure, provided the first surgeon bills R898.
  • Use this code specifically for the second surgeon's component when the surgical team structure is formally designated as a two-surgeon procedure rather than a surgeon-assistant model.

Common Pitfalls

  • Billing R899 when the second physician is acting as a surgical assistant rather than a co-primary surgeon, which will result in a rejection or audit recovery.
  • Attempting to bill R899 alongside R803, which is strictly prohibited as R803 is reserved for single-surgeon procedures.
  • Failure to ensure the first surgeon has successfully submitted R898, as the Ministry cross-references these claims to validate the two-surgeon requirement.

Billing Tips

  • Always append the suffix 'A' to R899 and ensure the operative report clearly delineates the specific contributions of both surgeons to justify the two-surgeon billing status.
Provider Fee$2,446.40

Effective: April 1, 2026

Service Type

Cardiovascular Surgical Procedures

Code Classes

Surgery

Must be performed as a two-surgeon procedure where both surgeons are present and participating in the surgery.

The procedure includes repair or excision of the aneurysm with a graft.

The fee for R899 ($2446.40) is 75% of the single-surgeon fee for R803 ($3261.85).

Anaesthesia units are not listed for R899; they are billed under the primary surgeon's code (R898 or R803).

A second anaesthesiologist, if required, bills R803C.

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