OHIP Billing Codes

Specialty: Heart And Pericardium

Code Description Fee
M134 Thoracotomy for postoperative haemorrhage or empyema $398.50
M137 Thoracotomy with or without biopsy $398.50
M157 Donor Heart Lung removal $924.65
R429 Excision Baker's cyst Meniscectomy $246.15
R660 Burn debridement and excision outside Operating Room hand each digit $29.50
R700 With hypothermia and without bypass basic fee for cardiovascular procedures
R701 Ventricular assist devices univentricular $736.10
R702 Ventricular assist devices biventricular $1,361.65
R703 Ventricular assist devices paracorporeal $1,472.05
R704 Ventricular assist devices implantable $2,206.85

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R705 Ventricular assist devices removal of ventricular assist device $518.75
R706 Cardiotomy Right and left atrial ablative procedure for treatment of atrial arrhythmia surgical procedure or performed with an energy source $1,270.90
R709 Cardiotomy Left atrial ablative procedure for surgical treatment of atrial arrhythmia (either CoxMaze procedure or performed using an energy source) $794.30
R710 Cardiotomy Resection/ablation for ventricular tachycardia (to include cardiotomy, mapping with or without HIS bundle) $1,134.50
R711 Cardiotomy Division of accessory conduction pathway (to include cardiotomy, mapping with or without HIS bundle) $756.45
R712 Cardiotomy with exploration $536.30
R713 Cardiotomy with removal of foreign body $648.20
R714 Cardiotomy with removal of tumour $536.30
R715 Closure of atrial septal defect secundum $771.00
R716 Closure of atrial septal defect endocardial cushion and valve defect $1,147.30
R717 Closure of atrial septal defect with anamalous pulmonary venous drainage $967.80
R718 Closure of atrial septal defect Closure of ventricular septal defect $967.80
R720 Total repair Tetralogy of Fallot with or without previous arterial shunt $1,310.85
R721 Arterial repair of transposition $1,774.15
R722 Total anomalous pulmonary venous drainage $1,175.45
R723 Total correction transposition of great vessels $1,175.45
R741 Excision Coronary artery endarterectomy and/or gas endarterectomy $745.40
R742 Coronary artery repair one $913.55
R743 Coronary artery repair two $1,303.80
R746 Excision Ventricular tumour $881.90
R747 Excision Aneurysm of sinus of Valsalva $799.30
R748 Pericardiectomy one side open $648.20
R749 Pericardiectomy both sides open or sternal split $1,021.55
R750 Thoracotomy Open biopsy of pericardium and drainage (transthoracic or epigastric) $324.25
R751 Implantation of epicardial electrode(s) plus implantation of pack $474.35
R752 Atrioventricular sequential pacemaker with permanent atrial and ventricular endocardial electrodes $463.70
R753 Implantation of cardioverter (CD) defibrillator by thoracotomy $734.80
R754 Ligation or division patent ductus infant or child $536.30
R755 Ligation or division patent ductus adolescent or adult $745.40
R756 Resection coarctation child $771.00
R757 Resection coarctation infant $801.70
R758 Resection coarctation adolescent or adult $1,004.70
R759 Congenital heart procedures e. g. Blalock, Glenn, Potts, Waterston or Central $789.90
R761 Implantation of cardioverter (CD) defibrillator by transvenous approach $599.15
R762 Creation of ASD by thoracotomy or Sterling Edwards $771.00
R763 Creation of ASD by balloon septostomy $324.25
R768 Pulmonary artery banding $641.60
R769 Pulmonary artery banding with pressure studies by anaesthetist, extra/hour
R770 Correction of cor triatriatum $903.40
R771 Vascular ring $771.00
R857 Interruption of bronchial collateral arteries (one or more arteries) as sole procedure $745.40
R870 Orthotopic cardiac transplantation $1,472.05
R872 Donor cardiectomy $491.10
R874 Cardiopulmonary transplantation $2,616.85
R920 Excision Ventricular tumour $726.45
R921 Complete AV canal $1,510.15
R922 Single ventricle $1,721.40
R923 Double outletright/left ventricle $1,547.20
R924 Double outlet ventricle with transposition $1,763.65
R925 Truncus arteriosus $1,753.10
R926 Interrupted aortic arch $1,547.20
R927 Aortopulmonary window $979.70
R928 RV outflow tract with valve and tubular graft $1,085.95
R929 Debanding arterioplasty of pulmonary artery $962.40
Z401 Thoracotomy Aspiration of pericardium $134.35
Z412 Replacement or repair of pacemaker lead $113.00
Z414 Thoracotomy Injection of pericardial sclerosing agents $23.55
Z415 Removal and/or replacement of implantable cardioverter defibrillator $346.25
Z428 Pacemaker lead extraction, including the use of extraction sheathes, with or without laser or similar technology $610.55
Z433 Replacement of pacemaker pack (single or multiple leads) $149.40
Z435 Insertion of permanent endocardial electrode(s) $157.20
Z436 Exposure of vein and implantation of pack $169.90
Z444 Insertion of permanent endocardial electrode and implantation of pack, includes insertion of temporary transvenous lead at same surgical procedure by same surgeon $330.25
Z445 Repositioning of permanent endocardial electrode (as separate procedure) $330.25
Z465 Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect device closure of a single defect $202.55
Z466 Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect device closure of two or more defects $354.45
Z743 Circulatory assist device e.g. intraaortic balloon open $314.00
Z744 Decannulation of circulatory assist device open $125.50
Z751 Repositioning of intraaortic balloon pump open $130.50
Z759 Removal of failed vascular graft without arterial reconstruction when sole procedure $193.35
Z780 Circulatory assist device e.g. intraaortic balloon percutaneous $224.20
Z781 Decannulation of circulatory assist device percutaneous $39.80
Z782 Repositioning of intraaortic balloon pump percutaneous $84.20
Z788 Extracorporeal Membrane Oxygenator (ECMO) includes cannulating and decannulating, by any method, heart, vein and/or artery and repair of vessels if rendered $373.85

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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