R291 – Olecranon with fascial repair
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code represents a surgical procedure. As a surgical procedure, it is eligible for surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C) fees. The surgeon's fee typically includes pre-operative and post-operative care. Fees for assistant and anaesthetist services are calculated based on basic and time units as described in the General Preamble (-). The specific details of this procedure are not available in the provided context.
When to Use
- Use R291 when performing an open reduction or repair of an olecranon fracture that specifically requires fascial repair or reconstruction.
- Select this code for surgical interventions involving the olecranon where the fascial component is a distinct and necessary part of the operative procedure.
Common Pitfalls
- Billing R291 in conjunction with other fracture fixation codes for the same site may trigger a 'duplicate service' rejection unless the procedures are distinct and documented as separate operative tasks.
- Failing to document the fascial repair component specifically can lead to audit scrutiny, as the code implies a complexity beyond simple hardware fixation.
Billing Tips
- Ensure the operative report clearly details the fascial repair to justify the use of R291 over more generic fracture fixation codes.
- If the procedure is performed non-electively after hours, remember to append the appropriate E409A or E410A premium to the R291 base fee to maximize reimbursement.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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