What is OHIP billing code R935?

R935 is "Mesenteric or celiac artery repair - removal of band only", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R935 pay?

The current OHIP fee for R935 is $410.85, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R935 to OHIP?

R935 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R935 claims against the Schedule of Benefits rules before submission.

What codes are related to R935?

Codes related to R935 in the Schedule of Benefits include R811, R936.

All codes

R935

R935 – Mesenteric or celiac artery repair - removal of band only

OHIP Radiology Code — CARDIOVASCULAR SURGICAL PROCEDURES · Schedule of Benefits

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Mesenteric or celiac artery repair involving the removal of a band only. As per the note on page of the Schedule, R935 is also to be used for the excision of the celiac ganglion. This procedure is eligible for surgeon (suffix A), assistant (suffix B), and anaesthesiologist (suffix C) services.

When to Use

Use R935 specifically for the surgical removal of a restrictive band or mesh previously placed around the mesenteric or celiac artery.
Use R935 for the excision of the celiac ganglion, as explicitly mandated by the Schedule of Benefits note on page Q16.
Use R935 when the procedure is limited to the removal of the band or ganglion, ensuring it is not bundled into a more comprehensive vascular reconstruction code like R936.

Common Pitfalls

Billing R935 for a full celiac artery bypass or reconstruction; if the procedure involves arterial repair or grafting, R936 is the appropriate code.
Failing to document the specific removal of the band or the excision of the celiac ganglion, which creates an audit risk if the operative report describes a more extensive vascular procedure.
Attempting to bill R935 alongside other vascular procedures that include the removal of the band as a standard part of the surgical approach, which may lead to claims being rejected as 'included in another procedure'.

Billing Tips

Ensure the operative report clearly distinguishes between the removal of a band (R935) and any subsequent arterial repair, as the latter may require a different code or a combination of codes.
When performing celiac ganglion excision, explicitly state this in the procedure title of the claim to align with the specific note on page Q16 and avoid manual review delays.

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Provider Fee$410.85

Surgical Assistant Fee$125.10

Anaesthetist Fee$154.90

Non-Anaesthetist Fee$154.90

Effective: April 1, 2025

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