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R448
R448 – Posteromedial release, lateral shortening, tendon transfers and fusion
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use R448 for comprehensive club foot reconstruction involving the full spectrum of posteromedial release, lateral shortening, tendon transfers, and fusion.
- Select R448 when the surgical complexity exceeds the scope of isolated soft tissue releases like R408 or R313, which are limited to specific components of club foot repair.
Common Pitfalls
- Billing R448 in conjunction with R408 or R313 is considered unbundling, as the comprehensive nature of R448 is intended to encompass the necessary reconstructive components.
- Failure to apply the mandatory age-based surgical premiums (e.g., AGE_PREMIUM_UNDER_1_YEAR) results in significant underpayment, as these are not automatically calculated by the system.
Billing Tips
- Ensure the operative report explicitly details the fusion and tendon transfer components to justify the use of R448 over less comprehensive musculoskeletal codes.
Provider Fee$371.20
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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