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R488
R488 – Removal only - cemented
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This procedure involves the removal of a cemented component from a previous total hip arthroplasty. It is categorized under the 'ARTHROPLASTY' subsection within 'PELVIS AND HIP' surgical procedures.
When to Use
- Use R488 specifically for the isolated removal of a cemented femoral or acetabular component during a revision procedure where no other components are replaced or removed.
- Select R488 when performing a staged revision surgery where the primary goal is the removal of a loose or infected cemented component without immediate replacement.
Common Pitfalls
- Billing R488 in conjunction with a total hip replacement code (e.g., R443) is considered unbundling, as the removal is typically inclusive of the revision procedure.
- Failure to document the specific 'cemented' nature of the component will lead to audit recovery if the component is found to be cementless upon review.
Billing Tips
- Ensure the operative report explicitly details the technique used to remove the cement mantle, as this supports the specific nature of the R488 procedure.
Provider Fee$557.75
Surgical Assistant Fee$75.06
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
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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