What is OHIP billing code R512?

R512 is "Excision of subacromial bursa", an OHIP Radiology code from the Ontario Schedule of Benefits (Physician Services).

How much does R512 pay?

The current OHIP fee for R512 is $211.60, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill R512 to OHIP?

R512 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates R512 claims against the Schedule of Benefits rules before submission.

All codes

R512

R512 – Excision of subacromial bursa

OHIP Radiology Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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Excision of subacromial bursa. This surgical procedure is not to be claimed with R416, R593 or R594.

When to Use

Use for the surgical excision of a subacromial bursa when performed as a standalone procedure for chronic bursitis.
Use when the bursa is removed during a procedure that does not involve the rotator cuff repairs or acromioplasty procedures restricted by the Schedule.

Common Pitfalls

Claiming R512 in conjunction with R416 (Acromioplasty), R593 (Rotator cuff repair), or R594 (Rotator cuff repair) will result in automatic rejection due to the explicit billing restrictions.
Attempting to bill R512 alongside other shoulder procedures often triggers audit flags if the operative report does not clearly distinguish the excision as a separate, distinct surgical step from the primary procedure.

Billing Tips

Ensure the operative report explicitly details the excision of the bursa to justify the code, especially when performed in the same operative field as other shoulder surgeries.

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Provider Fee$211.60

Surgical Assistant Fee$75.06

Anaesthetist Fee$108.43

Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

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