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R929

R929Debanding arterioplasty of pulmonary artery

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

R929 is a cardiovascular surgical procedure for the debanding and arterioplasty of the pulmonary artery. This service fee is for the surgeon (suffix A). Associated services for a surgical assistant (suffix B) and an anaesthesiologist (suffix C) are also payable and are calculated based on basic and time units. As per , the service of a second assistant is payable for this procedure without special authorization.

When to Use

  • Use R929 specifically for the surgical removal of a pulmonary artery band followed by the reconstruction of the artery to restore normal vessel diameter.
  • Select R929 when performing a formal arterioplasty as part of the debanding procedure, rather than a simple lysis of adhesions or removal of a foreign body.

Common Pitfalls

  • Failing to document the Injury Severity Score (ISS) in the medical record when attempting to claim the E420 trauma premium, which leads to automatic rejection.
  • Incorrectly billing for a second surgical assistant as a separate procedure code; it must be submitted using the R929 code with a 'B' suffix to be processed correctly under GP90.
  • Overlapping after-hours premiums; remember that E420 cannot be billed in conjunction with any special visit or after-hours premiums.

Billing Tips

  • Ensure the anaesthesiologist includes the appropriate ASA physical status modifier (e.g., E022C, E017C) and the emergency 'E' modifier (E020C) if applicable to maximize the unit-based fee calculation.
  • When a second surgical assistant is required, submit the second claim with the 'B' suffix on the same day as the primary surgeon's claim to ensure the Ministry recognizes the secondary assistance without requiring prior authorization.
Provider Fee$1,034.35
Surgical Assistant Fee$232.38
Anaesthetist Fee$446.88
Non-Anaesthetist Fee$446.88

Effective: April 1, 2026

Category

Q. Cardiovascular Surgical Procedures

Subcategory

CARDIOVASCULAR SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Cardiovascular Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services

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