What is OHIP billing code R495?

R495 is "Fasciotomy for compartment syndrome", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does R495 pay?

The current OHIP fee for R495 is $397.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill R495 to OHIP?

R495 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R495 claims against the Schedule of Benefits rules before submission.

What codes are related to R495?

Codes related to R495 in the Schedule of Benefits include Z783.

All codes

R495

R495 – Fasciotomy for compartment syndrome

OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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A surgical procedure from the Musculoskeletal System section of the Schedule of Benefits. The fee listed is for the surgeon (suffix A). Surgical assistance (suffix B) and anaesthesia (suffix C) services are also payable and are calculated based on a system of basic units plus time-based units as defined in the General Preamble (, ). Various premiums for age, after-hours services, and trauma may also apply.

Z783

Payment for surgical assistant (suffix B) and anaesthesiologist (suffix C) services are based on a system of basic units plus time units. The fee is calculated by multiplying the total units by the respective unit fee. - **Surgical Assistant (R495B):** The fee is the sum of basic units and time units, multiplied by the assistant unit fee of $12.91. Time units are 1 unit per 15 minutes for the first hour, 2 units per 15 minutes after the first hour up to and including the first 1.75 hours, and 3 units per 15 minutes after 1.75 hours. See - for full details. - **Anaesthesiologist (R495C):** The fee is the sum of basic units and time units, multiplied by the anaesthesiologist unit fee of $15.96. Time units are 1 unit per 15 minutes for the first hour, 2 units per 15 minutes after the first hour up to 1.5 hours, and 3 units per 15 minutes after 1.5 hours. See - for full details.

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