R343 – Femoral stapling
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This code represents a surgical reconstruction procedure involving the stapling of the femur, usually to manage leg length discrepancy. The service is found under the Femur heading of the Musculoskeletal System section. Assistant and anaesthesia services are calculated separately based on units. Assistant services for R343 are valued at 6 base units plus time units. Anaesthesia services are valued at 7 base units plus time units. See : (Surgical Assistants' Services) and : (Anaesthesiologists' Services) for calculation details.
When to Use
- Use R343 specifically for epiphysiodesis via stapling to correct leg length discrepancy in pediatric patients.
- Select R343 when performing femoral stapling as a standalone procedure; do not use if performing more extensive reconstructive osteotomies like R340 or R341.
Common Pitfalls
- Billing R343 alongside other femoral procedures (e.g., R341) without applying the multiple procedure rule, which typically reduces the secondary procedure fee by 50%.
- Failing to apply the mandatory age-based premiums for pediatric patients, which are essential for R343 given the target demographic for growth modulation.
Billing Tips
- Ensure the surgical report explicitly documents the number of staples used and the specific femoral growth plate targeted to support the claim during potential audits.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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