R090 – Webbed toes - one web space
OHIP Radiology Code — INTEGUMENTARY SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical correction of webbed toes involving one web space. This is a surgical procedure denoted by the '#' prefix, indicating that for services performed in a hospital or an Integrated Community Health Services Centre (ICHSC), the facility costs (premises, equipment, supplies, personnel) are funded separately and cannot be charged to the patient as per . This service is eligible for assistant and anaesthesia services. The fee for assistant services is calculated based on 6 basic units plus time units. The fee for anaesthesia services is calculated based on 7 basic units plus time units. See the Surgical Assistants' Services () and Anaesthesiologists' Services () sections for full calculation details.
When to Use
- Use R090 for the surgical release of a single syndactyly web space between two toes.
- If correcting multiple web spaces in the same operative session, bill R090 for the first space and use the appropriate multiple procedure rules for subsequent spaces if applicable.
Common Pitfalls
- Billing R090 for simple toe separation that does not involve a true web space reconstruction, which may be audited as an incorrect procedure code.
- Failing to apply the correct age-based premium (e.g., AGE_PREMIUM_LT_16_YEARS) when performing this procedure on pediatric patients, resulting in lost revenue.
- Attempting to bill an office visit (A007) on the same day as R090; the visit is considered included in the surgical procedure fee.
Billing Tips
- Ensure the operative report explicitly describes the reconstruction of the web space to support the use of R090 over simpler excision codes.
- If the procedure is performed after hours due to an emergency, ensure E409 or E410 is appended to the claim to capture the 50% or 75% premium.
Effective: April 1, 2025
M. Integumentary System Surgical Procedures
INTEGUMENTARY SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures
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