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R313
R313 – Complex reconstruction or revision of previous club foot repair
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Complex reconstruction or revision of previous club foot repair (not to include simple tendon releases).
When to Use
- Use R313 for extensive soft tissue and bony reconstruction in patients with recurrent or resistant clubfoot deformity where simple tendon releases are insufficient.
- Select R313 for secondary procedures involving complex revision of prior surgical repairs that require significant dissection, capsulotomies, or osteotomies.
Common Pitfalls
- Billing R313 for simple tendon releases or minor soft tissue procedures, which are excluded by the code description and subject to audit recovery.
- Attempting to bill R313 in conjunction with other musculoskeletal procedures without clear documentation of distinct, separate surgical sites or independent procedures.
Billing Tips
- Ensure the operative report explicitly details the complexity of the reconstruction, such as specific osteotomies or extensive capsular releases, to justify the 'complex' designation over simpler musculoskeletal codes.
- Always verify if the patient qualifies for age-based surgical premiums, as these significantly increase the total reimbursement for R313 given the pediatric nature of clubfoot pathology.
Provider Fee$468.65
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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