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R352

R352Pectus excavatum or carinatum repair

OHIP Radiology Code — RESPIRATORY SURGICAL PROCEDURES · Schedule of Benefits

This procedure involves the surgical correction of congenital chest wall deformities such as pectus excavatum or pectus carinatum. The repair is achieved through reconstructive techniques rather than the insertion of a prosthetic implant.

When to Use

  • Use R352 for the primary surgical correction of pectus excavatum or carinatum using reconstructive techniques such as the Ravitch procedure.
  • Select R352 when performing open surgical chest wall reconstruction that does not involve the insertion of prosthetic implants or bars, distinguishing it from minimally invasive techniques like the Nuss procedure.

Common Pitfalls

  • Billing R352 alongside a hospital admission assessment or general assessment is a common rejection; ensure you only claim the major pre-operative consultation fee separately.
  • Attempting to bill R352 in conjunction with other thoracic procedures without applying the 85% reduction rule for secondary procedures performed under the same anaesthesia.

Billing Tips

  • Ensure the operative report clearly details the reconstructive technique used to justify R352, as the OHIP schedule specifically excludes prosthetic implant procedures under this code.
Provider Fee$1,331.70
Surgical Assistant Fee$77.46
Anaesthetist Fee$175.56
Non-Anaesthetist Fee$175.56

Effective: April 1, 2026

Category

P. Respiratory Surgical Procedures

Subcategory

RESPIRATORY SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Respiratory Surgical Procedures

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