R327 – Pseudoarthrosis - By-pass fibular graft
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Radical pancreaticoduodenectomy (Whipple's procedure). As a surgical procedure, the fee includes the pre-operative evaluation, the operation itself, and standard post-operative care. This service includes all common elements of insured services as defined in -<`SectionPages></SectionPages>` of the Schedule of Benefits.
When to Use
- Use R327 specifically for the surgical management of pseudoarthrosis involving a by-pass fibular graft.
- Select this code when performing the definitive reconstructive procedure for a non-union where a vascularized or non-vascularized fibular graft is utilized to bridge the defect.
Common Pitfalls
- Do not bill R327 in conjunction with other bone graft codes (e.g., R064 or R065) for the same site, as the fee for R327 is intended to be comprehensive for the procedure.
- Avoid billing R327 for simple hardware revision or debridement; it is strictly intended for the specific reconstructive technique of a fibular by-pass graft.
- Failure to document the specific use of a fibular graft can lead to audit reclassification to a lower-valued non-union repair code.
Billing Tips
- Since a second assistant is automatically eligible for R327, ensure both assistant claims are submitted with the appropriate suffix to avoid manual review delays.
- If the procedure is performed on an emergency basis after hours, ensure the claim includes the correct after-hours premium (E409 or E410) linked to the surgical procedure fee to maximize the procedural reimbursement.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Digestive System Surgical Procedures
A second assistant's services are payable for this procedure and authorization from a medical consultant is not required.
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