What is OHIP billing code R202?

R202 is "Saucerization and bone graft", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R202 pay?

The current OHIP fee for R202 is $387.00, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R202 to OHIP?

R202 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R202 claims against the Schedule of Benefits rules before submission.

What codes are related to R202?

Codes related to R202 in the Schedule of Benefits include R201.

All codes

R202

R202 – Saucerization and bone graft

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

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Saucerization and bone graft is a surgical procedure performed on the foot or ankle. It involves the surgical creation of a shallow, saucer-like depression in a bone, typically to remove diseased or infected tissue, followed by the placement of a bone graft to fill the resulting defect and encourage healing. This procedure is listed under 'Incision and Drainage' within the Musculoskeletal System section of the Schedule. Payment is available for the surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C).

When to Use

Use R202 for the surgical debridement of osteomyelitis in the foot or ankle where a distinct saucerization defect is created and subsequently filled with a bone graft.
Use this code when the primary clinical intent is the removal of necrotic bone followed by grafting, distinguishing it from simple debridement (R201) which does not involve grafting.

Common Pitfalls

Billing R202 when only simple debridement or sequestrectomy is performed without the application of a bone graft; this should be billed as R201.
Failing to document the specific anatomical site and the nature of the graft used, which is necessary to justify the higher fee compared to non-grafting musculoskeletal procedures.
Attempting to bill for the bone graft harvest as a separate procedure; the harvest is considered bundled into the R202 fee.

Billing Tips

Ensure the operative report explicitly details both the saucerization technique and the placement of the bone graft to support the claim during potential audits.
If the procedure is performed on an emergency basis, ensure the appropriate after-hours or trauma premiums are applied to the base fee to maximize the claim value.

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Provider Fee$387.00

Surgical Assistant Fee$75.06

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

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