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R945
R945 – Resection or repair of an AV fistula aneurysm(s)
OHIP Radiology Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits
When to Use
- Use R945 when performing a formal resection of a symptomatic or enlarging AV fistula aneurysm, regardless of whether a thrombectomy is required during the same session.
- Select R945 for repairs involving significant reconstruction of the fistula site that exceeds the scope of simple revision or ligation codes.
Common Pitfalls
- Billing R945 in combination with R941, R942, R943, R944, or R946 on the same day will trigger an automatic rejection due to the global restriction per patient per day.
- Attempting to unbundle thrombectomy as a separate procedure is a common audit risk; R945 explicitly includes any necessary thrombectomy in its fee.
Billing Tips
- Ensure the procedure start time is accurately recorded to determine eligibility for after-hours premiums (E409/E410) or surgical assistant premiums (E400B/E401B), as these are additive to the base R945 fee.
Provider Fee$975.50
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
J. Diagnostic and Therapeutic Procedures
Subcategory
DIAGNOSTIC AND THERAPEUTIC PROCEDURES
Service Type
Surgical
Code Classes
Cardiovascular Surgical Procedures
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