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R184

R184R184

OHIP Radiology Code · Schedule of Benefits

Distal triceps tendon repair

When to Use

  • Use R184 for the primary surgical repair of a distal triceps tendon rupture when the tendon can be reattached directly to the olecranon.
  • Use R184 when the procedure involves necessary tenolysis or mobilization of the triceps muscle as part of the primary repair process.

Common Pitfalls

  • Billing R184 in conjunction with a separate procedure for bony fixation is a rejection risk, as reduction and fixation of bony injury are included in the R184 fee.
  • Attempting to bill E061 for a standard acute repair is a common audit trigger; E061 is strictly reserved for delayed repairs (greater than 6 weeks) requiring graft augmentation.

Billing Tips

  • If the repair is delayed beyond 6 weeks and requires an autograft or allograft, ensure E061 is billed as an add-on to R184 to capture the 50% premium for the increased complexity.
Provider Fee$500.00
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

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