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Surgical specialties & anaesthesia
Vascular Surgery OHIP billing codes
Vascular surgery consultations and visits, aortic and peripheral arterial reconstruction, endarterectomy and thrombectomy, venous surgery and dialysis access.
65 codes in 8 sections, fees from the current Schedule of Benefits. Every code the Schedule lists for specialty 17 is in the full Vascular Surgery listing.
Consultations & assessments — office
Hospital in-patient
- C175Consultation - Non-Emergency Hospital In-Patient ServicesA consultation for a non-emergency hospital in-patient provided by a Vascular Surgery specialist upon written request from a referring physician, nurse practitioner, or dental surgeon.—
- C176Repeat consultation - non-emergency hospital in-patientA repeat consultation for a non-emergency hospital in-patient rendered by a vascular surgery specialist. This is an additional consultation for the same problem, requested after another physician has provided interim care.—
- C173Specific assessmentA specific assessment for a non-emergency hospital in-patient, rendered by a Vascular Surgery specialist. This assessment requires a full history of the presenting complaint and a detailed examination of the affected part(s) or system(s).—
- C174Specific re-assessmentA specific re-assessment for a non-emergency hospital in-patient rendered by a vascular surgery specialist. This service requires a full, relevant history and physical examination of one or more systems.—
- C172Subsequent visit - first five weeksA routine subsequent visit to a non-emergency, acute care hospital in-patient during the first five weeks after admission, provided by a Vascular Surgery specialist. Limited to one per patient per day.—
- C177Subsequent visit - sixth to thirteenth week inclusiveA subsequent hospital in-patient visit for a patient under the care of a Vascular Surgery specialist, rendered between the sixth and thirteenth week of hospitalization. Limited to a maximum of three visits per week.—
- C179Subsequent visit - after thirteenth weekA subsequent visit by a Vascular Surgery specialist to a hospital in-patient, rendered after the thirteenth week of admission. This service is limited to a maximum of six visits per patient per month.—
- C178Concurrent careA routine assessment rendered in a hospital by a consultant following their first major assessment, when the family physician remains the Most Responsible Physician (MRP) but requests continued directive care.—
Aorta & visceral arteries
- R802Open abdominal aortic repair (tube graft or endarterectomy)A surgical procedure for the repair or excision of an abdominal aortic aneurysm with a graft, which may also include a unilateral common femoral repair.$2031.95
- R803Thoraco-abdominal aneurysm - repair or excision with graftSurgical repair or excision of a thoraco-abdominal aneurysm with a graft, a procedure listed under Cardiovascular Surgical Procedures.$3261.85
- R799Ascending aorta repair or excision with graftSurgical repair or excision of an ascending thoracic aortic aneurysm with graft placement. This procedure is eligible for assistant and anaesthetist services, calculated by a unit-based system.$1473.15
- R806Renal artery repairSurgical repair of a renal artery. This is a major cardiovascular procedure eligible for surgeon, assistant, and anaesthesia fees, calculated using a base unit and time-unit system.$867.35
- R807Splenic artery aneurysm - reconstruction or excision with graftA surgical procedure involving the reconstruction or excision with a graft for a splenic artery aneurysm.$411.05
- R811Mesenteric or celiac artery repair - aneurysmSurgical repair of an aneurysm of the mesenteric or celiac artery. This service includes eligibility for assistant and anaesthetist services which are calculated using base and time units.$410.85
- R858Removal of infected aortic graftA surgical procedure for the complete removal of an infected aortic graft, including both the stem and limbs. Arterial reconstruction is payable as a separate service.$1082.60
- E986Suprarenal or supraceliac aortic cross clampAn add-on fee for the surgical procedure of applying a suprarenal or supraceliac aortic cross clamp during specific abdominal or aorto-iliac aorta repair procedures (R802, R896, R817, R886).$250.00
- E667RupturedAn add-on fee payable in addition to the primary procedure for the repair of a thoracic aorta aneurysm (R799, R800, R801) or aortic arch reconstruction (R830, R831, R832) when the aneurysm is ruptured.$266.60
Peripheral arterial reconstruction
- R791Femoro-popliteal bypass with saphenous veinA surgical procedure for a femoro-popliteal bypass using a saphenous vein. This service includes surgeon, assistant, and anaesthetist components, and may be performed with or without endarterectomy as per <SectionPages>Q16</SectionPages>:<PDFPageNumber>662</PDFPageNumber>.$1077.25
- R794Femoro-popliteal bypass with prosthetic graftA surgical procedure for femoro-popliteal bypass using a prosthetic graft. The fees for the surgeon, assistant, and anaesthetist are specified, with assistant and anaesthesia fees being unit-based.$733.15
- R787Femoro-anterior/posterial tibial/peroneal bypass graft - with saphenous or arm vein, with or without splicingSurgical procedure involving a femoro-anterior/posterior tibial/peroneal bypass graft using a saphenous or arm vein to restore blood flow in the lower leg. This can be performed with or without an endarterectomy.$1265.00
- R797Popliteal artery surgeryA surgical procedure for an in-situ saphenous vein arterial bypass to the popliteal artery, performed by a single vascular surgeon.$1414.15
- R804Tibial artery surgeryAn in-situ saphenous vein arterial bypass to a tibial artery, performed by one vascular surgeon.$1643.00
- R809Femoral-popliteal endarterectomyA surgical procedure to remove plaque buildup from the femoral artery in the thigh and/or the popliteal artery behind the knee. Payable for surgeon, assistant, and anaesthesiologist services.$759.60
- R855Common femoral/profunda femoris repair - as sole procedureA surgical procedure involving the repair of the common femoral and/or profunda femoris artery. This service is payable only when performed as the sole procedure.$559.20
- R810Popliteal aneurysmSurgical procedure for a popliteal aneurysm. This service is eligible for surgeon, assistant, and anaesthesiologist fees.$805.65
- R812Peripheral arteries other than listed - aneurysmSurgical procedure for an aneurysm of a peripheral artery that is not otherwise specified in the Schedule of Benefits.$410.45
- R934Aorto-femoral unilateral graftA surgical procedure for a unilateral aorto-femoral bypass graft. This code covers the surgeon's fee, with separate calculations for assistant and anaesthesia services.$867.35
- R937Ilio-femoral bypass graftSurgical procedure to perform an ilio-femoral bypass graft, creating a new pathway for blood flow from the iliac to the femoral artery to circumvent a blockage.$805.65
- R933Axillo-femoral, femoro-femoral or axillo-axillary graftA surgical procedure for creating a bypass graft, such as an axillo-femoral, femoro-femoral, or axillo-axillary graft. This code is billable by the surgeon, with separate calculations for assistant and anaesthesia services.$656.55
- R932Axillo-bilfemoral graftSurgical procedure for the creation of an axillo-bilfemoral bypass graft, typically used to treat aortoiliac occlusive disease.$1200.00
- R860Per-obturator ilio-femoral graft - with saphenous veinA surgical procedure to create a per-obturator ilio-femoral bypass using a saphenous vein graft to restore blood flow.$898.55
- R861Per-obturator ilio-femoral graft - with prosthetic graftA surgical procedure to create a bypass from the iliac to the femoral artery through the obturator foramen using a prosthetic graft.$876.85
- E672Composite femoral popliteal/tibial bypassAn add-on surgical procedure for a composite femoral popliteal/tibial bypass using vein, PFPE, and dacron, performed in conjunction with a primary femoro-popliteal or femoro-tibial/peroneal bypass graft.$133.40
- E679Vein graft harvest remote from site of by-passThis is an add-on fee for harvesting a vein graft from a remote site when the saphenous vein is unavailable, billed in addition to another primary vascular procedure.$124.10
Embolectomy, thrombectomy & trauma
- R867Thrombectomy - artery or graft - as sole procedureSurgical removal of a blood clot (thrombectomy) from an artery or graft. This code is only applicable when it is the sole procedure performed.$490.00
- R814Aorto-Iliac repair - embolectomy or thrombectomy of bifurcationSurgical removal of an embolus or thrombus from the bifurcation of the aorta or an aortic graft.$461.50
- R829Thrombectomy, other than aboveSurgical procedure for the removal of a blood clot from a blood vessel, applicable to cases not covered by <billingCode>R828</billingCode> (ilio-femoral thrombectomy).$302.80
- E649Embolectomy and/or thrombectomyAn add-on fee for an embolectomy and/or thrombectomy when performed in conjunction with another primary vascular procedure.$112.45
- R795Repair of lacerated major artery or microscopic repair of digital arterySurgical repair of a lacerated major artery or microscopic repair of a digital artery, which may include patch angioplasty. This is a traumatic repair procedure.$598.40
- R818Lacerated major vein - including patchSurgical repair of a major lacerated vein (e.g. femoral, popliteal, vena cava, axillary, sub-clavian, brachial or microscopic repair of digital vein) that includes the use of a patch.$596.70
- R764Exploration of major arteryA surgical procedure to explore a major artery, typically performed in a hospital setting.$271.60
- Z402ArteriotomyA surgical procedure involving an incision into an artery. Per <SectionPages>Q11</SectionPages>, this service is not payable in addition to other major cardiovascular surgery.$117.30
- R781Ligation of artery - as sole procedureSurgical ligation of an artery, payable only when performed as the sole procedure.$170.10
- R873Thrombin injection of femoral artery pseudoaneurysmA surgical procedure involving the injection of thrombin to treat a femoral artery pseudoaneurysm. This procedure is often performed under ultrasound guidance.$68.20
- R833Ligation or removal of by-pass graftA surgical procedure for the ligation (tying off) or complete removal of a bypass graft.$82.55
- Z759Removal of failed vascular graft without arterial reconstructionA surgical procedure for the removal of a failed vascular graft. This code is intended for use when this is the only procedure performed and does not involve arterial reconstruction.$189.55
Venous
- R868High ligation and stripping of long saphenous vein with groin dissectionSurgical procedure for the treatment of varicose veins involving the high ligation and stripping of the long saphenous vein with groin dissection. This service is insured only under specific conditions of venous incompetence, failed conservative management, and significant symptoms or signs of chronic venous insufficiency as per the criteria outlined on page <SectionPages>Q18</SectionPages>.$200.00
- R844Recurrent varicose veins - multiple ligation and/or strippingSurgical procedure for recurrent varicose veins, involving multiple ligations and/or stripping. This service is insured only under specific clinical conditions as outlined on <SectionPages>Q19</SectionPages>, including documented junctional incompetence, failure of conservative management, and signs of chronic venous insufficiency or significant symptoms.$353.80
- R842Extra fascial and sub-fascial incompetent perforators by full fascial techniqueA surgical procedure for extra-fascial and sub-fascial incompetent perforating veins using a full fascial technique. Payment is contingent on documented vein incompetence, failure of conservative therapy, and the presence of specific signs of chronic venous insufficiency.$384.75
- E653Plus strippingAn add-on procedure for venous stripping, typically performed with another varicose vein surgery. Payment is subject to specific criteria including documented reflux, failed conservative management, and signs of chronic venous insufficiency.$127.15
- E657Ilio-femoral thrombectomy - plus I.V.C. ligationAn add-on procedure for the ligation of the inferior vena cava (I.V.C.), performed in conjunction with an ilio-femoral thrombectomy (`R828`).$487.25
- R836Pulmonary embolectomyPulmonary embolectomy is the surgical removal of an embolus (blood clot) from the pulmonary arteries, typically performed for massive pulmonary embolism.$866.55
- Z748Internal jugular ligationSurgical ligation and/or stripping of the internal jugular vein. This is a unit-based procedure for anaesthesia and surgical assistance.$148.60
Dialysis & infusion access
- R944Revision and/or repair of AV fistula or graft by angioplasty, patch or graft, and/or segment replacement, with or without thrombectomyA surgical procedure for the revision or repair of an arterio-venous (AV) fistula or graft used for haemodialysis, using methods such as angioplasty, patch, graft, or segment replacement. This procedure may or may not include thrombectomy.$650.00
- R826Resection of AV aneurysm or fistula with or without major graft - minor aneurysmSurgical resection of a minor arteriovenous (AV) aneurysm or fistula. This service is not payable for the revision or repair of an AV fistula or graft required for haemodialysis.$497.25
- R825Resection of AV aneurysm or fistula with or without major graft - major aneurysmSurgical resection of a major arteriovenous (AV) aneurysm or fistula. This procedure may include a major graft.$975.50
- R775Cannulation for infusion chemotherapy - superficial temporal arteryA surgical procedure for the cannulation of the superficial temporal artery, typically for infusion chemotherapy. This service includes fees for the surgeon (<billingCode>R775A</billingCode>), assistant (<billingCode>R775B</billingCode>), and anaesthetist (<billingCode>R775C</billingCode>).$109.10
- R776Cannulation for infusion chemotherapy - hepatic arterySurgical cannulation of the hepatic artery for the purpose of infusion chemotherapy.$287.05
Long-term care
- W171Additional Subsequent Visits (Maximum of 6 per Patient per Month) per VisitAn additional subsequent visit for a patient in a chronic care or convalescent hospital, billable after the first four monthly visits (`<billingCode>W172</billingCode>`). This service is part of a total of six subsequent visits allowed per patient per month.—
- W172First 4 subsequent visits per patient per month in chronic care or convalescent hospitalA routine subsequent visit by a Vascular Surgeon to an in-patient in a chronic care or convalescent hospital. This service is limited to the first four visits per patient per month.—
- W173Subsequent visits - nursing home or home for the aged - first 2 per monthA routine subsequent visit by a vascular surgeon for a patient in a nursing home or home for the aged. This code is for the first two such visits per patient in a calendar month.—
How to use this vascular code set
This is a working list, not the whole Schedule. It carries the codes the Ontario Schedule of Benefits ties to vascular surgery (specialty 17) — its own consultation and assessment codes, in-patient visits, premiums and the diagnostics or procedures that make up most of a day — sectioned the way a shift sheet reads. Codes open to every specialty that a vascular physician also bills (general assessments, forms, special visit premiums) live in the Family Practice and Special visit premiums sets.
Each code links to its full Schedule entry: fee history, restrictions, required diagnoses and the codes it can or cannot be billed with. Fees shown are the current provider or specialist fee; percentage premiums show the percentage they add to the base service.
Common questions
Which consultation or assessment code does vascular surgery bill?
The consultations & assessments — office section of this set starts with A175 (Consultation). 4 codes are listed in that section.
What is in the Vascular Surgery code set?
65 OHIP billing codes across 8 sections: Consultations & assessments — office; Hospital in-patient; Aorta & visceral arteries; Peripheral arterial reconstruction; Embolectomy, thrombectomy & trauma; Venous; Dialysis & infusion access; Long-term care. Vascular surgery consultations and visits, aortic and peripheral arterial reconstruction, endarterectomy and thrombectomy, venous surgery and dialysis access.
Are these the current OHIP fees?
Fees are read from the current Ontario Schedule of Benefits for Physician Services and refreshed hourly. Claims are paid at the fee in force on the service date, so always confirm the effective date on the code page.
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