OHIP Billing Codes

Specialty: Heart And Pericardium

Code	Description	Anes	Asst	Fee
Search a description within this chart
M134	Thoracotomy for postoperative haemorrhage or empyema	13	9	$398.50
M137	Thoracotomy with or without biopsy	13	9	$398.50
M157	Donor Heart Lung removal	8	8	$924.65
R429	Excision Baker's cyst Meniscectomy	6	6	$246.15
R660	Burn debridement and excision outside Operating Room hand each digit	0		$29.50
R700	With hypothermia and without bypass basic fee for cardiovascular procedures	25
R701	Ventricular assist devices univentricular	28	18	$736.10
R702	Ventricular assist devices biventricular	28	18	$1,361.65
R703	Ventricular assist devices paracorporeal	28	18	$1,472.05
R704	Ventricular assist devices implantable	28	18	$2,206.85
The Ultimate OHIP Billing Guide New to billing? Not sure where to start? Our Ultimate Billing Guide outlines every aspect of Ontario billing. View the guide
R705	Ventricular assist devices removal of ventricular assist device	20	18	$518.75
R706	Cardiotomy Right and left atrial ablative procedure for treatment of atrial arrhythmia surgical procedure or performed with an energy source	20	18	$1,270.90
R709	Cardiotomy Left atrial ablative procedure for surgical treatment of atrial arrhythmia (either CoxMaze procedure or performed using an energy source)	20	18	$794.30
R710	Cardiotomy Resection/ablation for ventricular tachycardia (to include cardiotomy, mapping with or without HIS bundle)	20		$1,134.50
R711	Cardiotomy Division of accessory conduction pathway (to include cardiotomy, mapping with or without HIS bundle)	20		$756.45
R712	Cardiotomy with exploration	20	18	$536.30
R713	Cardiotomy with removal of foreign body	20	18	$648.20
R714	Cardiotomy with removal of tumour	20	18	$536.30
	E658 HIS Bundle ablation add			$283.70
	E661 endocardial E.P.S. mapping add			$188.85
R715	Closure of atrial septal defect secundum	20	18	$771.00
R716	Closure of atrial septal defect endocardial cushion and valve defect	20	18	$1,147.30
R717	Closure of atrial septal defect with anamalous pulmonary venous drainage	28	18	$967.80
R718	Closure of atrial septal defect Closure of ventricular septal defect	28	18	$967.80
R720	Total repair Tetralogy of Fallot with or without previous arterial shunt	28	18	$1,310.85
R721	Arterial repair of transposition	28	18	$1,774.15
R722	Total anomalous pulmonary venous drainage	28	18	$1,175.45
R723	Total correction transposition of great vessels	28	18	$1,175.45
R741	Excision Coronary artery endarterectomy and/or gas endarterectomy	20	18	$745.40
	E651 when done in conjunction with coronary artery repair add			$206.10
R742	Coronary artery repair one	20	18	$913.55
	E645 off pump coronary artery bypass grafting add			$378.45
	E646 vein patch angioplasty of coronary artery add			$191.55
	E652 use of internal mammary or epigastric or radial artery for construction of bypass graft add			$191.65
	E654 each additional add			$192.65
R743	Coronary artery repair two	20	18	$1,303.80
	E645 off pump coronary artery bypass grafting add			$378.45
	E646 vein patch angioplasty of coronary artery add			$191.55
	E652 use of internal mammary or epigastric or radial artery for construction of bypass graft add			$191.65
	E654 each additional add			$192.65
R746	Excision Ventricular tumour	28	18	$881.90
R747	Excision Aneurysm of sinus of Valsalva	28	18	$799.30
R748	Pericardiectomy one side open	20	13	$648.20
R749	Pericardiectomy both sides open or sternal split	20	13	$1,021.55
R750	Thoracotomy Open biopsy of pericardium and drainage (transthoracic or epigastric)	13	13	$324.25
R751	Implantation of epicardial electrode(s) plus implantation of pack	20	6	$474.35
R752	Atrioventricular sequential pacemaker with permanent atrial and ventricular endocardial electrodes	6	6	$463.70
R753	Implantation of cardioverter (CD) defibrillator by thoracotomy	20	6	$734.80
R754	Ligation or division patent ductus infant or child	20	13	$536.30
R755	Ligation or division patent ductus adolescent or adult	20	13	$745.40
R756	Resection coarctation child	20	13	$771.00
R757	Resection coarctation infant	20	13	$801.70
R758	Resection coarctation adolescent or adult	20	13	$1,004.70
R759	Congenital heart procedures e. g. Blalock, Glenn, Potts, Waterston or Central	20	13	$789.90
R761	Implantation of cardioverter (CD) defibrillator by transvenous approach	8	6	$599.15
R762	Creation of ASD by thoracotomy or Sterling Edwards	20	18	$771.00
R763	Creation of ASD by balloon septostomy	9	9	$324.25
R768	Pulmonary artery banding	20	13	$641.60
R769	Pulmonary artery banding with pressure studies by anaesthetist, extra/hour	6
R770	Correction of cor triatriatum	20	18	$903.40
R771	Vascular ring	20	18	$771.00
R857	Interruption of bronchial collateral arteries (one or more arteries) as sole procedure	20	13	$745.40
R870	Orthotopic cardiac transplantation	28	18	$1,472.05
R872	Donor cardiectomy	8	7	$491.10
R874	Cardiopulmonary transplantation	28	18	$2,616.85
R920	Excision Ventricular tumour	28	18	$726.45
R921	Complete AV canal	28	18	$1,510.15
R922	Single ventricle	28	18	$1,721.40
R923	Double outletright/left ventricle	28	18	$1,547.20
R924	Double outlet ventricle with transposition	28	18	$1,763.65
R925	Truncus arteriosus	28	18	$1,753.10
R926	Interrupted aortic arch	28	18	$1,547.20
R927	Aortopulmonary window	28	18	$979.70
R928	RV outflow tract with valve and tubular graft	28	18	$1,085.95
R929	Debanding arterioplasty of pulmonary artery	28	18	$962.40
Z401	Thoracotomy Aspiration of pericardium	0		$134.35
Z412	Replacement or repair of pacemaker lead	7	6	$113.00
	E628 each additional lead extraction add			$198.40
Z414	Thoracotomy Injection of pericardial sclerosing agents	0		$23.55
Z415	Removal and/or replacement of implantable cardioverter defibrillator	7	6	$346.25
Z428	Pacemaker lead extraction, including the use of extraction sheathes, with or without laser or similar technology	7	10	$610.55
	E628 each additional lead extraction add			$198.40
Z433	Replacement of pacemaker pack (single or multiple leads)	6		$149.40
Z435	Insertion of permanent endocardial electrode(s)	0		$157.20
Z436	Exposure of vein and implantation of pack	6		$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	6	6	$330.25
Z445	Repositioning of permanent endocardial electrode (as separate procedure)	6		$330.25
Z465	Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect device closure of a single defect	0		$202.55
Z466	Percutaneous transluminal catheter assisted closure for Secundum arterial septal defect device closure of two or more defects	0		$354.45
Z743	Circulatory assist device e.g. intraaortic balloon open	7		$314.00
	E650 includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run add			$378.45
	E682 axillary artery graft for cardiopulmonary bypass, to E650 add			$432.35
Z744	Decannulation of circulatory assist device open	6		$125.50
	E670 following previous thoracotomy add			$229.20
	E671 following previous sternotomy add			$554.55
Z751	Repositioning of intraaortic balloon pump open	6		$130.50
	E670 following previous thoracotomy add			$229.20
	E671 following previous sternotomy add			$554.55
Z759	Removal of failed vascular graft without arterial reconstruction when sole procedure	6		$193.35
	E650 includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run add			$378.45
	E655 reoperation for failed vascular grafts for repair or replacement of existing prosthesis (more than one month after original operation) add			$355.70
	E682 axillary artery graft for cardiopulmonary bypass, to E650 add			$432.35
Z780	Circulatory assist device e.g. intraaortic balloon percutaneous	7		$224.20
	E650 includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run add			$378.45
	E682 axillary artery graft for cardiopulmonary bypass, to E650 add			$432.35
Z781	Decannulation of circulatory assist device percutaneous	0		$39.80
Z782	Repositioning of intraaortic balloon pump percutaneous	0		$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	6		$373.85
	E650 includes cannulating and decannulating heart or major vein, major artery, supervision of pump and pump run add			$378.45
	E682 axillary artery graft for cardiopulmonary bypass, to E650 add			$432.35

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.