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R492
R492 – Radio-ulnar meniscectomy
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Radio-ulnar meniscectomy is a surgical procedure for the excision of the radio-ulnar meniscus. This service is performed on the hand and wrist.
When to Use
- Use R492 specifically for the excision of the triangular fibrocartilage complex (TFCC) or radio-ulnar meniscus when performed as an isolated procedure.
- Select R492 when the surgical intent is the debridement or excision of the meniscus specifically within the radio-ulnar joint space, distinguishing it from general wrist arthroscopy or synovectomy.
Common Pitfalls
- Billing R492 in conjunction with other wrist procedures without ensuring the 'multiple procedure' rule is applied, which typically reduces the secondary procedure to 85% or 50% of the fee.
- Attempting to bill R492 alongside more comprehensive wrist reconstruction codes (e.g., R316 or R285) often leads to rejection for 'unbundling' if the meniscus excision is considered an inherent part of the primary procedure.
Billing Tips
- Ensure that if R492 is performed bilaterally, you append the appropriate bilateral modifier to the claim to avoid automatic rejection or underpayment.
Provider Fee$231.10
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
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