All codes
R262
R262 – Osteotomy femoral shaft
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R262 is a reconstructive surgical procedure involving an osteotomy of the femoral shaft to correct a deformity. This procedure is listed under the Musculoskeletal System section of the Schedule of Benefits. This service has defined base units for surgical assistant and anaesthetist services.`
When to Use
- Use R262 for corrective osteotomies of the femoral shaft intended to address angular or rotational deformities.
- Select R262 when performing a formal osteotomy for malunion or non-union of the femoral shaft that requires surgical realignment.
Common Pitfalls
- Do not bill R262 in conjunction with internal fixation codes (e.g., R260) if the fixation is considered an integral component of the osteotomy procedure.
- Avoid billing R262 for simple fracture reductions; this code is strictly for reconstructive osteotomies and not for acute trauma management unless a formal realignment osteotomy is performed.
- Failure to obtain prior authorization for a second surgical assistant will result in automatic rejection, as R262 does not qualify for automatic second assistant payment.
Billing Tips
- Ensure the operative report clearly describes the osteotomy technique and the specific deformity corrected to support the use of R262 over simpler fixation codes.
- If the procedure is performed on a pediatric patient, verify the age-based premium (e.g., 5-16 years) is applied to the base fee to maximize reimbursement.
Provider Fee$996.40
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
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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