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R273

R273Osteotomy - other

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

Osteotomy - other

When to Use

  • Use R273 for osteotomies that do not have a specific, higher-paying anatomical code in the Schedule of Benefits, such as certain corrective procedures for non-union or malunion.
  • Use R273 when performing a secondary or salvage osteotomy that is not captured by more specific codes like R265 (osteotomy of femur) or other site-specific musculoskeletal codes.

Common Pitfalls

  • Billing R273 when a more specific code exists for the anatomical site will lead to audit scrutiny and potential recovery of funds.
  • Failing to document the specific nature of the 'other' osteotomy in the operative report is a common cause for claim rejection during manual review.
  • Attempting to bill a second assistant for this procedure without prior authorization via the Individual Consideration (IC) process will result in automatic rejection.

Billing Tips

  • Always verify if a site-specific osteotomy code exists before defaulting to R273, as the Ministry prioritizes specific codes over general 'other' categories.
  • If performing R273 alongside other surgical procedures, ensure the 'Multiple Procedure' rule is applied correctly to the assistant and anaesthesiologist units to avoid claim errors.
Provider Fee$623.35
Surgical Assistant Fee$100.08
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Musculoskeletal System Surgical Procedures

Age Restriction

Newborns (0-28 days); or Patients aged 2 years and older

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