R089 – Webbed fingers - one web space
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the surgical correction of webbed fingers (syndactyly), specifically for one web space. As a surgical procedure, it has associated fees for the primary surgeon (<suffix>A</suffix>), a surgical assistant (<suffix>B</suffix>), and an anaesthesiologist (<suffix>C</suffix>). This code is prefixed with a '#', indicating that when performed in a hospital, the premises, equipment, supplies, and personnel are funded by the hospital's global budget (see ).
When to Use
- Use R089 for the surgical release of a single web space involving simple or complex syndactyly.
- Select R089 when the procedure is limited to one web space; if multiple web spaces are addressed in the same session, R090 is the appropriate code for the additional spaces.
Common Pitfalls
- Billing R089 multiple times for the same hand during one session is incorrect; use R090 for subsequent web spaces.
- Attempting to bill R089 in conjunction with a minor procedure code like S001 is often rejected as the surgical fee for R089 is intended to be comprehensive for the procedure.
Billing Tips
- Ensure the surgical report clearly defines the extent of the web space release to justify the use of R089 over less intensive integumentary procedures.
- Always append the appropriate surgical suffix (A for surgeon, B for assistant) to ensure correct payment processing for the surgical team.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
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