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R330
R330 – Major resection tumour
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Major resection tumour
When to Use
- Use R330 for the definitive major resection of a musculoskeletal tumour where the procedure complexity exceeds standard excision codes.
- Select R330 when performing a wide or radical resection of a deep-seated musculoskeletal tumour that requires significant surgical time and technical expertise.
Common Pitfalls
- Billing R330 alongside minor excision codes for the same site will trigger a rejection for unbundling; ensure the procedure is distinct or the primary resection.
- Failure to obtain prior authorization for a second surgical assistant will result in automatic denial, as R330 does not grant automatic entitlement to a second assistant.
- Incorrectly applying R330 for simple biopsies or superficial excisions that are more appropriately billed under lower-value musculoskeletal codes.
Billing Tips
- Always ensure the operative report explicitly details the 'major' nature of the resection to support the R330 fee if audited, as the term 'major' is subject to interpretation.
- If the procedure is performed on a patient under 16 years of age with major trauma, ensure the Injury Severity Score (ISS) is documented in the chart to support the E420 trauma premium.
Provider Fee$629.65
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Urogenital and Urinary Surgical Procedures
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