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R210
R210 – Fibular head excision
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R210 is a surgical procedure for the excision of the fibular head. This procedure is listed in the Musculoskeletal System Surgical Procedures section of the Schedule of Benefits and may require the services of a surgical assistant and an anaesthesiologist.
When to Use
- Use R210 for the formal excision of the fibular head, typically performed for symptomatic proximal tibiofibular joint instability or tumor resection.
- Distinguish R210 from R311 (excision of fibula, partial or complete) when the procedure is specifically limited to the proximal fibular head rather than the shaft.
Common Pitfalls
- Billing R210 in conjunction with R295 (excision of bone tumor) is generally considered unbundling; ensure the primary procedure code accurately reflects the extent of the resection.
- Failure to document the specific clinical indication for a second surgical assistant will lead to automatic rejection, as R210 is not on the pre-approved list for two assistants.
Billing Tips
- Always append the appropriate age-based premium to the R210 fee if the patient is under 16 years of age to maximize the procedural reimbursement.
Provider Fee$193.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
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