All codes
R256
R256 – Injection into bone cysts
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Injection into bone cysts. Assistant (suffix B) and Anaesthetist (suffix C) services are not eligible for payment with this code.
When to Use
- Use R256 for the therapeutic injection of corticosteroids or other agents into a confirmed benign bone cyst.
- Use this code for percutaneous sclerotherapy of a unicameral bone cyst when performed as a distinct surgical procedure.
Common Pitfalls
- Do not bill R256 in conjunction with assistant (suffix B) or anaesthetist (suffix C) services, as these are explicitly excluded from payment.
- Avoid using R256 for diagnostic aspirations; this code is intended for therapeutic injections into the cyst cavity.
Billing Tips
- Ensure the procedure is documented as a surgical intervention to justify the R-series code, as it is categorized under Musculoskeletal System Surgical Procedures.
- If the procedure is performed on a patient under 16 years of age, remember to apply the appropriate age premium (e.g., AGE_PREMIUM_UNDER_16_YEARS) to the base fee.
Provider Fee$117.00
Effective: April 1, 2025
Since Apr 2004, this fee has increased 0.0% vs 57.0% CPI inflation
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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