R276 – Osteotomy - metatarsals and phalanx
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Performs an osteotomy of the metatarsals and phalanx to correct deformity. This is a surgical procedure listed under the Musculoskeletal System section. For each additional metatarsal or phalanx osteotomy performed during the same operative session, E596 should be claimed. As a surgical procedure, this service includes pre-operative and post-operative care as defined in the Schedule of Benefits. This service is eligible for various premiums including those for age, after-hours services, and trauma, subject to specific criteria.
When to Use
- Use R276 as the primary code for the first metatarsal or phalanx osteotomy performed during an operative session.
- Use R276 for corrective osteotomies of the foot where the primary intent is deformity correction, distinguishing it from simple fracture management codes.
- Use R276 in conjunction with E596 when performing multiple osteotomies on different metatarsals or phalanges during the same surgical encounter.
Common Pitfalls
- Claiming R276 multiple times for multiple osteotomies instead of using R276 for the first and E596 for subsequent procedures.
- Failing to document the specific number of osteotomies performed, which is required to justify the correct number of E596 units.
- Attempting to bill R276 alongside other foot surgery codes that may include the osteotomy in their own global fee, leading to potential unbundling rejections.
Billing Tips
- Always claim R276 as the primary procedure to establish the base fee, then append E596 for each additional metatarsal or phalanx osteotomy performed.
- Ensure the operative report clearly delineates each distinct osteotomy site to support the claim for multiple E596 units during an audit.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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