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R387
R387 – Genioplasty - two segments, or for laterognathia
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Genioplasty involving two segments, or for laterognathia. This is a type of orthognathic surgery performed on the skull and mandible.
When to Use
- Use R387 when performing a genioplasty that requires two distinct osteotomy segments to achieve the desired correction.
- Use R387 specifically for the correction of laterognathia (asymmetry of the chin), which necessitates more complex surgical manipulation than a standard single-segment advancement or setback.
Common Pitfalls
- Billing R387 for a simple single-segment horizontal osteotomy, which is more appropriately captured by R386.
- Failing to document the specific surgical technique used to address laterognathia, which can lead to claim rejection during manual audits.
- Attempting to bill R387 in conjunction with other orthognathic procedures (e.g., Le Fort or BSSO) without ensuring the claim correctly reflects the 'multiple procedure' rules (usually 100% for the primary and 50% for the secondary).
Billing Tips
- Ensure the operative report explicitly details the two-segment nature of the osteotomy or the specific correction of the laterognathia to support the higher fee compared to R386.
- If performing multiple orthognathic procedures, always list the procedure with the highest fee first to maximize the value of the 50% reduction applied to subsequent procedures.
Provider Fee$575.45
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
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