What is OHIP billing code R215?

R215 is "Osteotomy supracondylar", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does R215 pay?

The current OHIP fee for R215 is $387.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R215 to OHIP?

R215 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R215 claims against the Schedule of Benefits rules before submission.

What codes are related to R215?

Codes related to R215 in the Schedule of Benefits include R262, R963, R964, R965, R966.

All codes

R215

R215 – Osteotomy supracondylar

OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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Osteotomy supracondylar is a surgical procedure listed under the Musculoskeletal System section for femur reconstruction. It involves a planned cut of the femur bone in the area just above the knee joint (supracondylar region) to correct angular or rotational deformities. This procedure, when claimed with suffix A for the surgeon, is paid as a flat fee. When claimed by a surgical assistant (suffix B) or anaesthesiologist (suffix C), payment is calculated based on time and base units. As specified on page of the Schedule, this service has 6 basic units for the assistant (Asst) and 6 basic units for the anaesthesiologist (Anae).

All insured services must be documented in appropriate records establishing that the service was provided, the service claimed is the service rendered, and the service was medically necessary.

For surgical assistant services, time spent is determined by time in direct contact with the patient in the operating room prior to scrub time and time spent assisting at the surgery. If a replacement assistant is used, start and stop times must be documented in the patient's permanent medical record.

For anaesthesia services, time commences when the anaesthesiologist is first in attendance with the patient in the OR to initiate anaesthesia and ends when the anaesthesiologist is no longer in attendance. Start and finish times must be documented in the medical record for replacement anaesthesiologists.

If claiming the trauma premium (E420), the medical record must list the Injury Severity Score (ISS).

R262 R963 R964 R965 R966

Base units for Assistant (suffix B) are 6. Payment is calculated by adding base units and time units, multiplied by the assistant unit fee.

Base units for Anaesthetist (suffix C) are 6. Payment is calculated by adding base units and time units, multiplied by the anaesthesiologist unit fee.

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