What is OHIP billing code R267?

R267 is "Removal of internal fixation device more than 30 days after insertion - general anaesthetic", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R267 pay?

The current OHIP fee for R267 is $201.00, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R267 to OHIP?

R267 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R267 claims against the Schedule of Benefits rules before submission.

What codes are related to R267?

Codes related to R267 in the Schedule of Benefits include R268, R598.

All codes

R267

R267 – Removal of internal fixation device more than 30 days after insertion - general anaesthetic

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

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Removal of an internal fixation device performed under general anaesthetic. This service is a surgical procedure with fee-for-service amounts for the surgeon, assistant, and anaesthetist. For removal under local anaesthetic, see R268. The amount payable for the assistant and anaesthetist is calculated using base units plus time-based units.

When to Use

Use R267 for the removal of hardware (e.g., plates, screws, or rods) when the procedure is performed under general anaesthetic and more than 30 days have elapsed since the initial insertion.
Use R267 when the removal requires a formal surgical setting with anaesthesia support, distinguishing it from R268 which is strictly for removals performed under local anaesthetic.

Common Pitfalls

Billing R267 for hardware removal within 30 days of the original insertion is a common rejection; ensure the timeline exceeds the 30-day threshold.
Attempting to bill R267 alongside a separate surgical procedure on the same site may trigger a 'multiple procedure' rule reduction; ensure you are applying the correct percentage reduction for secondary procedures if applicable.
Failing to document the specific type of internal fixation device and the date of original insertion can lead to audit recovery if the 30-day requirement is not clearly substantiated.

Billing Tips

Always verify if the patient qualifies for age-based surgical premiums (e.g., AGE_PREMIUM_UNDER_16Y) to maximize the procedural fee beyond the base $201.00.
Ensure the anaesthetist and surgical assistant are billing their respective time-based units correctly, as R267 serves as the base surgical code that triggers their eligibility for base and time units.

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Provider Fee$201.00

Surgical Assistant Fee$77.46

Anaesthetist Fee$95.76

Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

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