R039 – Major burns
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
These fees apply to the service of being in constant or periodic attendance following a major burn, to provide all aspects of resuscitation to the patient. This follows the initial assessment, and includes such subsequent assessments as may be indicated. The specific elements are those of an assessment, including ongoing monitoring of the patient’s condition, and intervening as appropriate (see General Preamble ). Instead of element H, the assessment includes, providing premises, equipment, supplies and personnel for any aspects of the specific elements that is(are) performed in a place other than the place in which the assessment is performed. Separately billable interventions may be claimed in addition to these fees.
When to Use
- Use R039 for the ongoing resuscitation and constant or periodic attendance of a patient with major burns following the initial assessment.
- Apply this code when managing the acute phase of burn care that requires continuous monitoring and active intervention, distinguishing it from standard daily hospital visits like C002.
Common Pitfalls
- Billing R039 in conjunction with standard daily hospital visit codes (e.g., C002) is a common error, as R039 is intended to encompass the assessment and monitoring elements.
- Failing to document the specific resuscitative interventions performed during the attendance period, which is essential to justify the use of this code over a standard visit.
Billing Tips
- Ensure that any separately billable surgical procedures or interventions performed during the same encounter are claimed in addition to R039, as the code specifically allows for these to be billed separately.
- If the patient meets the criteria for the Trauma Premium (E420), ensure the Injury Severity Score (ISS) is clearly documented in the medical record to support the 50% increase.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.