What is OHIP billing code R145?

R145 is "Mandibular condylotomy", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R145 pay?

The current OHIP fee for R145 is $204.80, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R145 to OHIP?

R145 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R145 claims against the Schedule of Benefits rules before submission.

What codes are related to R145?

Codes related to R145 in the Schedule of Benefits include R379, E961, E962, R538, E963, E964, R567, E965.

All codes

R145

R145 – Mandibular condylotomy

OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Ask AI Bill This Code — Sign Up Free

Mandibular condylotomy is a surgical procedure listed under the 'Orthognathic Surgery' sub-heading within the 'Musculoskeletal System Surgical Procedures' section of the OHIP Schedule of Benefits.

When to Use

Use R145 specifically for a mandibular condylotomy procedure when addressing temporomandibular joint (TMJ) dysfunction or ankylosis that requires surgical intervention on the condyle.
Select R145 when performing a surgical release or repositioning of the mandibular condyle, distinguishing it from general orthognathic procedures like osteotomies (e.g., R538) which involve different anatomical targets.

Common Pitfalls

Billing R145 in conjunction with other orthognathic procedures without clear documentation of separate surgical sites or distinct clinical indications, which may trigger a rejection for unbundling.
Attempting to bill for a second surgical assistant without prior authorization; R145 is not on the pre-approved list, and claims will be rejected unless a letter of justification is submitted to the Ministry.
Confusing R145 with R379 or other mandibular procedures; ensure the operative report explicitly describes the condylotomy to avoid audit discrepancies.

Billing Tips

If the procedure is performed on both sides, ensure you bill R145 with the appropriate bilateral indicator or modifier as per the Schedule of Benefits to receive correct payment for both condyles.
Always document the specific clinical necessity for the condylotomy, especially when performed in an elective setting, to support the claim during potential post-payment reviews.

Have a specific question? Ask our billing assistant

Provider Fee$204.80

Surgical Assistant Fee$75.06

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

Ready to bill this code?

SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.

Get Started Free Already have an account? Sign in