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R245
R245 – Sequestrectomy
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure to remove a piece of dead, separated bone (sequestrum) from the femur. This procedure is typically performed to treat conditions like osteomyelitis. It is listed under the Musculoskeletal System section and is eligible for both surgical assistant and anaesthetist services.
When to Use
- Use R245 specifically for the surgical removal of a sequestrum from the femur in cases of chronic osteomyelitis.
- Select R245 when the procedure is limited to the sequestrectomy; if the procedure involves a more extensive debridement or saucerization of the femur, consider if R242 or R243 is more clinically accurate for the scope of work performed.
Common Pitfalls
- Billing R245 in conjunction with other musculoskeletal procedures on the same site without checking for global period exclusions or potential unbundling issues.
- Attempting to claim a second surgical assistant for R245 without prior authorization, as it is not included on the pre-approved list in GP90.
- Failing to document the specific ISS score in the medical record when attempting to claim the E420 trauma premium alongside this code.
Billing Tips
- Ensure the operative report explicitly describes the removal of the sequestrum to justify R245 over general debridement codes.
- If the procedure is non-elective and performed after hours, apply E409 or E410, but remember these cannot be claimed concurrently with the E420 trauma premium.
Provider Fee$516.20
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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