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R427
R427 – Denervation of hip
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Denervation of hip falls under the category of 'Denervation/Decompression' procedures for the pelvis and hip. It may include exploration, decompression, division, excision, biopsy, neurolysis and/or transposition of nerves related to the hip joint. This service includes all common and specific elements for surgical procedures as outlined in the Schedule of Benefits.
When to Use
- Use R427 for surgical denervation procedures of the hip joint, including neurolysis or excision of nerves specifically to address chronic hip pain.
- Select this code when performing a biopsy of nerves related to the hip joint as part of a denervation or decompression procedure.
Common Pitfalls
- Avoid billing R427 for simple diagnostic nerve blocks or injections, as these are not considered surgical denervation procedures.
- Do not unbundle R427 by billing separately for exploration or neurolysis, as the Schedule of Benefits defines these as inclusive elements of the procedure.
Billing Tips
- Ensure the operative report clearly details the specific nerves addressed to support the use of R427 over other general musculoskeletal surgical codes.
Provider Fee$387.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
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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