Question 1

What is OHIP billing code R499?

Accepted Answer

R499 is "Removal of total replacement", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does R499 pay?

Accepted Answer

The current OHIP fee for R499 is $402.75, effective 2026-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill R499 to OHIP?

Accepted Answer

R499 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R499 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to R499?

Accepted Answer

Codes related to R499 in the Schedule of Benefits include E564, R281, R288, R486, R510, R438.

R499 – Removal of total replacement

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