What is OHIP billing code R443?

R443 is "Removal only - non-cemented", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R443 pay?

The current OHIP fee for R443 is $447.30, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R443 to OHIP?

R443 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R443 claims against the Schedule of Benefits rules before submission.

What codes are related to R443?

Codes related to R443 in the Schedule of Benefits include R488, R241, E589, E593, R491, R440.

All codes

R443

R443 – Removal only - non-cemented

OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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This service is for the removal-only of a non-cemented component during a revision of a total hip arthroplasty. This procedure is listed in the Musculoskeletal System section under Pelvis and Hip. Payment for surgeon, assistant, and anaesthetist services are applicable under suffixes A, B, and C respectively. Assistant and anaesthetist fees are calculated based on a combination of base units (R443B - 6 units, R443C - 8 units) and time units.

When to Use

Use R443 specifically for the isolated removal of a non-cemented hip component during a revision procedure where no further reconstruction or insertion of a new component is performed at that site.
Select R443 when performing a staged revision where the primary goal of the operative session is the removal of a loose or infected non-cemented component prior to a subsequent reconstruction.

Common Pitfalls

Billing R443 in conjunction with codes for the insertion of a new component (e.g., R440) is a common error; ensure you are not unbundling a comprehensive revision procedure.
Failure to distinguish between cemented and non-cemented components; using R443 for a cemented component will result in a rejection or audit recovery, as cemented removal requires different coding.
Overlooking the requirement for specific documentation of the non-cemented nature of the component, which is essential for justifying the higher complexity associated with this removal.

Billing Tips

Ensure that the operative report explicitly states the component was non-cemented, as this is the primary clinical differentiator for this fee code compared to other removal codes.
If the procedure is performed on an emergency basis, ensure the appropriate after-hours or trauma premiums (E409, E410, E420) are appended to the claim to maximize the procedural value.

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Provider Fee$447.30

Surgical Assistant Fee$75.06

Anaesthetist Fee$123.92

Non-Anaesthetist Fee$123.92

Effective: April 1, 2025

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