R288 – Implant radial head
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is an arthroplasty of the elbow, specifically the implantation of a prosthesis for the radial head. This is a surgical procedure listed under the Musculoskeletal System section of the Schedule. The anaesthesia fee is based on 6 base units plus time units, and the assistant fee is based on 6 base units plus time units as specified on of the Schedule.
When to Use
- Use R288 when performing a primary radial head replacement for comminuted fractures or chronic instability where simple excision is insufficient.
- Select R288 instead of R281 (excision of radial head) when the surgical plan specifically includes the insertion of a prosthetic implant.
Common Pitfalls
- Do not bill R288 in conjunction with R499 or R486 for the same anatomical site, as these are considered inclusive of the arthroplasty procedure.
- Avoid billing R288 if the procedure is a revision of a failed implant; use E564 instead to capture the 35% premium for revision arthroplasty.
Billing Tips
- Ensure the operative report clearly details the prosthesis type and size to justify the R288 fee over simpler excision codes like R281.
- Apply relevant after-hours premiums (e.g., GP64) if the procedure is performed outside of standard operating hours, as R288 is a surgical procedure eligible for these add-ons.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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