What is OHIP billing code R250?

R250 is "Saucerization and bone graft", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R250 pay?

The current OHIP fee for R250 is $627.30, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R250 to OHIP?

R250 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R250 claims against the Schedule of Benefits rules before submission.

What codes are related to R250?

Codes related to R250 in the Schedule of Benefits include E003B, E003C.

All codes

R250

R250 – Saucerization and bone graft

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

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R250 is a surgical procedure for saucerization and bone graft, typically performed on the pelvis or hip. The service is found under the 'Incision and Drainage' subcategory. The fee is eligible for suffix A (Surgeon), B (Assistant), and C (Anaesthetist). Assistant and Anaesthetist fees are calculated based on a combination of base units and time units. See :.

When to Use

Use R250 for the surgical saucerization of a chronic osteomyelitis focus in the pelvis or hip, specifically when combined with a bone graft.
Select R250 when performing a formal debridement of necrotic bone (saucerization) followed by autograft or allograft placement, as opposed to simple debridement codes like R001.

Common Pitfalls

Billing R250 alongside other debridement codes for the same anatomical site is considered unbundling and will lead to claim rejection or audit recovery.
Attempting to bill a second surgical assistant (R250B) without a formal letter of justification attached to the claim will result in automatic denial of the second assistant's fee.
Failure to document the specific Injury Severity Score (ISS) in the patient record when attempting to claim the E420 trauma premium will result in the premium being clawed back during post-payment review.

Billing Tips

Ensure that the operative report explicitly details both the saucerization process and the specific type of bone graft used to support the R250 claim during potential audits.
When the procedure is performed on an emergency basis after hours, ensure the start time is clearly documented in the operative note to support the application of E409 or E410 premiums.

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Provider Fee$627.30

Specialist Fee$0.00

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

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