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R380
R380 – Orbital cranial osteotomy - intracranial approach
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Orbital cranial osteotomy, intracranial approach. This is a surgical procedure involving the cutting and reshaping of the bones of the orbit and cranium via an intracranial method. Per the note on , this service includes the harvesting and grafting of bone or cartilage grafts.
When to Use
- Use R380 for complex orbital reconstruction requiring an intracranial approach, such as in cases of severe craniofacial trauma or tumor resection.
- Select this code when the procedure involves deliberate osteotomy and reshaping of the orbital and cranial bones via an intracranial route.
Common Pitfalls
- Do not bill separately for bone or cartilage harvesting (e.g., Z263, Z264, Z265, Z266, E975, E976), as these are explicitly included in the R380 fee.
- Failure to use the manual review indicator when billing R380 in conjunction with N153 will result in automatic rejection.
Billing Tips
- Ensure the operative report clearly details the intracranial approach to justify the use of R380 over less invasive orbital procedures.
- When billing R380 with N153, attach detailed supporting documentation to the manual review submission to prevent payment delays.
Provider Fee$1,495.50
Surgical Assistant Fee$150.12
Anaesthetist Fee$387.25
Non-Anaesthetist Fee$387.25
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
* Includes harvesting and grafting of bone or cartilage grafts.
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