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R922
R922 – Single ventricle
OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits
R922 is a major cardiovascular surgical procedure for the repair of a single ventricle.
When to Use
- Use R922 specifically for the definitive surgical repair of a single ventricle physiology, such as a Fontan-type procedure, when not covered by more specific stage-based codes like R921 or R923.
- Select R922 when performing complex single ventricle reconstruction that does not meet the criteria for palliative shunt procedures coded under R720-R723.
Common Pitfalls
- Billing R922 in conjunction with other cardiovascular surgical codes (R768-R771) without ensuring the procedures are distinct and not bundled into the global surgical fee.
- Failing to account for the global surgical period, which precludes billing for routine post-operative follow-up visits that are included in the R922 fee.
Billing Tips
- Ensure that any anaesthesia modifiers like E002C are only applied if the hypothermia protocol is distinct from the standard requirements of the R922 procedure itself.
Provider Fee$1,687.50
Surgical Assistant Fee$225.18
Anaesthetist Fee$433.72
Non-Anaesthetist Fee$433.72
Effective: April 1, 2025
Category
Q. Cardiovascular Surgical Procedures
Subcategory
CARDIOVASCULAR SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
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