R266 – Bone tumour (foot)
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical excision of a bone tumour of the foot. This procedure is listed in the Musculoskeletal System section of the Schedule of Benefits under Foot and Ankle (). The service includes all common elements of insured services (-) and the specific elements for surgical procedures. The fee for the surgeon (A) is a flat rate, while fees for the assistant (B) and anaesthetist (C) are calculated based on basic units plus time units.
When to Use
- Use R266 for the surgical excision of a benign bone tumour located specifically within the foot structures.
- Use this code when the procedure involves the formal excision of the lesion, distinguishing it from simple biopsies or minor soft tissue excisions.
Common Pitfalls
- Billing R266 alongside other foot procedures without checking for the Multiple Procedure Rule, which may reduce the fee for the secondary procedure.
- Confusing R266 with soft tissue excision codes; ensure the operative report explicitly confirms the lesion was intra-osseous to justify the bone tumour code.
Billing Tips
- Ensure the pathology report is referenced in your notes to support the diagnosis of a bone tumour, as this is critical for audit defense.
- Remember to append the appropriate age-based premium if the patient is under 16, as this is a surgical procedure code eligible for these specific increases.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
Assistant services (<suffix>B</suffix>) are payable with 6 base units plus time units as per the rules on -.
Anaesthesia services (<suffix>C</suffix>) are payable with 6 base units plus time units as per the rules on -.
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