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R390
R390 – Bilateral periorbital correction Treacher-Collins Syndrome - with or without bone grafts (extra-cranial)
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Performs a bilateral periorbital correction for Treacher-Collins Syndrome using an extra-cranial approach. As noted on page , this fee includes the harvesting and grafting of bone or cartilage grafts if they are performed as part of the procedure.
When to Use
- Use R390 specifically for bilateral periorbital correction in patients diagnosed with Treacher-Collins Syndrome via an extra-cranial approach.
- Use this code when the procedure includes the harvesting and grafting of bone or cartilage, as these components are bundled into the R390 fee and cannot be billed separately.
Common Pitfalls
- Do not attempt to bill bone or cartilage harvesting codes separately; these are explicitly included in the R390 fee per the Schedule of Benefits.
- Avoid using R390 for unilateral procedures or non-Treacher-Collins related periorbital reconstructions, as this will lead to rejection or audit recovery.
- Ensure the surgical report clearly differentiates this extra-cranial approach from intra-cranial procedures, which would fall under different billing categories.
Billing Tips
- Always apply the appropriate age-based surgical premium (e.g., AGE_PREMIUM_LT_16_YEARS) to the R390 base fee, as most Treacher-Collins patients fall within these pediatric age brackets.
- When performing multiple procedures, remember that the basic units for the surgical assistant (10) and anaesthesiologist (20) must be derived solely from the major procedure code.
Provider Fee$1,699.45
Surgical Assistant Fee$125.10
Anaesthetist Fee$309.80
Non-Anaesthetist Fee$309.80
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Includes harvesting and grafting of bone or cartilage grafts.
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