All codes
R325
R325 – Humerus
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Surgical repair of pseudoarthrosis of the humerus.
When to Use
- Use R325 specifically for the surgical repair of a confirmed non-union or pseudoarthrosis of the humerus shaft.
- Select R325 when performing an open reduction and internal fixation (ORIF) or bone grafting procedure specifically to address a failure of a previous humeral fracture to heal.
Common Pitfalls
- Do not bill R325 for a primary fracture fixation; use the appropriate fracture management codes (e.g., R320 series) for initial trauma repairs.
- Avoid billing R325 in conjunction with other major orthopedic procedures on the same limb without checking for 'major procedure only' payment rules, as basic units are only payable for the primary procedure.
Billing Tips
- Ensure the operative report explicitly documents the presence of pseudoarthrosis to support the use of this specific code over standard fracture repair codes.
- If a bone graft is harvested from a separate site, verify if a secondary procedure code is applicable and ensure it is billed with the appropriate 'multiple procedure' reduction if required by the Schedule of Benefits.
Provider Fee$952.45
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Digestive System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.