R393 – Forehead advancement - bilateral
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Bilateral forehead advancement is a surgical procedure to reshape and reposition the forehead, typically as part of craniofacial reconstruction. According to the Schedule of Benefits (page ), this procedure falls under the category of 'Forehead advancement (bone grafts not included)'. A second assistant's service is payable for this procedure without special authorization as per .
When to Use
- Use R393 for bilateral forehead advancement procedures involving bone repositioning where no bone grafting is performed.
- Use this code for craniofacial reconstruction cases where the primary surgical intent is the structural advancement of the forehead bone.
Common Pitfalls
- Do not bill R393 if bone or cartilage grafting is performed, as the Schedule of Benefits explicitly excludes these from the code's scope.
- Avoid billing R393 in conjunction with R394 (unilateral forehead advancement) for the same procedure, as R393 is specifically defined for bilateral advancement.
Billing Tips
- Ensure the second surgical assistant is billed using the appropriate code, as R393 is pre-authorized for a second assistant without requiring a medical consultant's approval.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
The heading under which this code is listed, 'Forehead advancement (bone grafts not included)', clarifies that this service does not include the harvesting and grafting of bone or cartilage grafts.
A second assistant's services are payable and do not require prior authorization from a medical consultant.
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