All codes
R408
R408 – Posterior or medial release
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
R408 is a surgical procedure for club foot involving a posterior or medial release. It is performed to correct the deformity by releasing tight tendons and ligaments, allowing for improved foot positioning. It is listed under the Foot and Ankle reconstruction section for Deformity.
When to Use
- Use R408 for the surgical correction of congenital clubfoot (talipes equinovarus) specifically involving posterior or medial soft tissue release.
- Select R408 when the procedure is limited to the release of tight tendons and ligaments to improve foot positioning, distinct from more extensive bony reconstruction procedures.
Common Pitfalls
- Billing R408 bilaterally without using the appropriate suffix (e.g., R408A for the first foot and R408A-50 for the second) will result in a rejection or underpayment.
- Confusing R408 with R448 (Foot, reconstruction of, for deformity) can lead to audit scrutiny if the documentation does not explicitly describe the soft tissue release performed.
Billing Tips
- Ensure the claim includes the appropriate age-based premium (e.g., AGE_PREMIUM_UNDER_1_YEAR) as a separate line item to capture the 25% increase for infants.
- If the procedure is performed as an emergency, ensure the operative report clearly justifies the non-elective status to support the application of after-hours premiums like E409 or E410.
Provider Fee$312.70
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
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.