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R268
R268 – Removal of internal fixation device - local anaesthetic
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Procedure for the removal of an internal fixation device, such as plates, screws, or rods, under local anaesthetic. This service is eligible for surgeon (A), assistant (B), and anaesthetist (C) fees. Assistant and anaesthetist services are calculated based on basic and time units.
When to Use
- Use R268 for the removal of superficial hardware, such as a single plate or screw, where the procedure is performed under local anaesthetic infiltration.
- Use R268 when the hardware is easily accessible and does not require extensive dissection or general anaesthesia, distinguishing it from more complex removal codes that imply deeper surgical intervention.
Common Pitfalls
- Billing R268 when the procedure is performed under general anaesthetic or sedation, which necessitates a different, higher-valued surgical code.
- Attempting to bill R268 in conjunction with another major surgical procedure on the same site, which may be flagged as an 'incidental' procedure and rejected by the Ministry.
Billing Tips
- Ensure the operative report explicitly states that local anaesthetic was used, as this is the primary criterion for the validity of the R268 code.
Provider Fee$54.85
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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