Question 1

What is OHIP billing code R496?

Accepted Answer

R496 is "Removal of hemiarthroplasty - without replacement", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does R496 pay?

Accepted Answer

The current OHIP fee for R496 is $242.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill R496 to OHIP?

Accepted Answer

R496 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R496 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to R496?

Accepted Answer

Codes related to R496 in the Schedule of Benefits include R990.

R496 – Removal of hemiarthroplasty - without replacement

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