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R229
R229 – Saucerization and bone grafting
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Saucerization and bone grafting is a surgical procedure listed under the 'Elbow and Forearm' section of Musculoskeletal System Surgical Procedures. It involves the excision of a portion of bone to create a shallow depression (saucerization), typically to remove diseased or infected tissue, followed by the implantation of bone graft material to promote healing and structural integrity.
When to Use
- Use R229 when performing a formal saucerization of an infected or necrotic bone segment in the elbow or forearm followed by an autograft or allograft placement.
- Use this code for chronic osteomyelitis cases where debridement (saucerization) is specifically paired with a bone graft to fill the resulting defect.
Common Pitfalls
- Do not bill R229 if the procedure is limited to simple debridement without a bone graft; use a debridement-specific code instead.
- Avoid billing R229 in conjunction with other musculoskeletal procedures on the same site unless distinct, separate incisions or anatomical structures are involved, as this may trigger a 'major procedure only' payment adjustment.
Billing Tips
- Ensure the operative report explicitly details both the saucerization (excision of bone) and the grafting component to justify the full fee of R229.
- If the procedure is performed as part of a larger reconstructive surgery, verify if the bone grafting is considered an integral component of the primary procedure to avoid unbundling rejections.
Provider Fee$452.90
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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