All codes
R386
R386 – Genioplasty - one segment
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Genioplasty, one segment. This procedure is a type of orthognathic surgery performed on the skull and mandible to correct deformities of the chin.
When to Use
- Use R386 when performing a single-segment osteotomy specifically to correct chin position, such as advancement or setback, as an isolated procedure.
- Use this code for chin reconstruction following trauma where only one segment is mobilized, distinguishing it from the multi-segment procedures covered by R387 or R388.
Common Pitfalls
- Billing R386 in conjunction with other orthognathic procedures (like Le Fort osteotomies) without checking for global fee rules or potential unbundling rejections.
- Confusing R386 with R387 or R388; ensure the operative report explicitly confirms only one segment was osteotomized to avoid audit recovery for over-coding.
Billing Tips
- If the genioplasty is performed as part of a larger orthognathic reconstruction, verify if the Schedule of Benefits allows for the addition of R386 or if it is considered inclusive in the primary procedure code.
- Always document the specific anatomical segment moved to justify the 'one segment' classification, as this is the primary differentiator from R387 and R388.
Provider Fee$384.60
Surgical Assistant Fee$75.06
Anaesthetist Fee$154.90
Non-Anaesthetist Fee$154.90
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.