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R508
R508 – Suturing of medial or lateral meniscus
OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Suturing of medial or lateral meniscus is a reconstructive surgical procedure performed on the knee. This service involves the surgical repair of a tear in the crescent-shaped fibrocartilaginous structure that provides cushioning and stability to the knee joint.
When to Use
- Use R508 for arthroscopic or open repair of a meniscal tear where the tissue is physically sutured to restore integrity.
- Select R508 when the clinical intent and operative report confirm a meniscal repair rather than a meniscectomy (which would be billed under R509).
Common Pitfalls
- Billing R508 in conjunction with a partial meniscectomy (R509) on the same meniscus is considered unbundling and will lead to claim rejection.
- Failure to document the specific technique used for the suture repair can lead to audit recovery if the procedure is later reclassified as a simple debridement.
Billing Tips
- Ensure the operative report explicitly details the suture placement and the meniscal zone repaired to support the use of R508 over debridement codes.
- Verify that the assistant units (6) and anaesthesia units (7) are correctly applied to the claim to maximize the total procedural value.
Provider Fee$242.25
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 Procedure
Code Classes
Musculoskeletal System Surgical Procedures
Assistant: 6 basic units.
Anaesthesia: 7 basic units.
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